MEDICARE: PALOMITA V. CASTILLO

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
1	171000000X	Military Health Care Provider

General Provider Information

NPI Number	:	1235115767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PALOMITA V. CASTILLO

Provider Business Mailing Address
First Line	:	1 MUNRO AVE
Second Line	:	HEALTH SERVICES DIVISION
City	:	CAPE MAY
State	:	NJ
Zip	:	08204-5000
Country	:	US
Telephone Number	:	609-898-6610
Fax Number	:	609-898-6343

Provider Business Practice Location Address
First Line	:	1 MUNRO AVE
Second Line	:	HEALTH SERVICES DIVISION
City	:	CAPE MAY
State	:	NJ
Zip	:	08204-5000
Country	:	US
Telephone Number	:	609-898-6610
Fax Number	:	609-898-6343

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	10/30/2008

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Directions to “ PALOMITA V. CASTILLO ” Practice Location

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