MEDICARE: ORLANDO ALFONSO CASTILLO 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
1	208600000X	Surgery Physician	MD 051044 L	PA

General Provider Information

NPI Number	:	1447250162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORLANDO ALFONSO CASTILLO M.D.

Provider Business Mailing Address
First Line	:	42 STRICKLAND WAY
Second Line	:
City	:	GLEN MILLS
State	:	PA
Zip	:	19342-1667
Country	:	US
Telephone Number	:	610-532-1300
Fax Number	:	619-399-4675

Provider Business Practice Location Address
First Line	:	1098 W BALTIMORE PIKE
Second Line	:	SUITE 3303 RMH OP PAVILION
City	:	MEDIA
State	:	PA
Zip	:	19063-5139
Country	:	US
Telephone Number	:	610-532-1300
Fax Number	:	610-399-4675

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	08/22/2013

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