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NPI Code Detail

MEDICARE: SARA CASTO ROCHESTER M.D.

MEDICARE:   SARA CASTO ROCHESTER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician19171AL
22084P0800XPsychiatry Physician48323KY
32084P0800XPsychiatry Physician35098621OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P101089818OTHEROHRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1144247172
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA CASTO ROCHESTER M.D.
Provider Business Mailing Address
First Line : 200 MESSIMER DR
Second Line :
City : NEWARK
State : OH
Zip : 43055-3627
Country : US
Telephone Number : 220-564-4873
Fax Number : 220-564-4871
Provider Business Practice Location Address
First Line : 200 MESSIMER DR
Second Line :
City : NEWARK
State : OH
Zip : 43055-3627
Country : US
Telephone Number : 220-564-4873
Fax Number : 220-564-4871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2006
Last Update Date : 03/18/2021

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Directions to “ SARA CASTO ROCHESTER M.D.” Practice Location

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