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NPI Code Detail

MEDICARE: MARLENA CASTRO

MEDICARE:   MARLENA  CASTRO
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
1104100000XSocial Worker44SL050908300NJ

General Provider Information

NPI Number : 1427506088
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLENA CASTRO
Provider Business Mailing Address
First Line : 39 E 21ST ST
Second Line :
City : BAYONNE
State : NJ
Zip : 07002-3717
Country : US
Telephone Number : 201-744-9561
Fax Number :
Provider Business Practice Location Address
First Line : 590 N 7TH ST
Second Line :
City : NEWARK
State : NJ
Zip : 07107-2522
Country : US
Telephone Number : 973-596-3835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2016
Last Update Date : 09/13/2016

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Directions to “ MARLENA CASTRO ” Practice Location

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