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NPI Code Detail

MEDICARE: MRS. GENEVIEVE S. CASTANEDA PA-C

MEDICARE: MRS. GENEVIEVE S. CASTANEDA PA-C
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
1363AM0700XMedical Physician Assistant25MP00126000NJ

General Provider Information

NPI Number : 1386685808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GENEVIEVE S. CASTANEDA PA-C
Provider Business Mailing Address
First Line : 170 CHANGEBRIDGE RD BLDG C3
Second Line :
City : MONTVILLE
State : NJ
Zip : 07045-9112
Country : US
Telephone Number : 973-575-5540
Fax Number : 973-575-4885
Provider Business Practice Location Address
First Line : 170 CHANGEBRIDGE RD BLDG C3
Second Line :
City : MONTVILLE
State : NJ
Zip : 07045-9112
Country : US
Telephone Number : 973-575-5540
Fax Number : 973-575-4885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 11/06/2025

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Directions to “ MRS. GENEVIEVE S. CASTANEDA PA-C” Practice Location

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