Castilla, William

Castilla, William is an individual health care provider with primary practice located at 293 Passaic Street , Passaic NJ 07055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Castilla, William can be contacted via phone (973) 365-1377.

Contact Information

Primary practice address
293 Passaic Street Passaic NJ 07055
Fax: (973) 365-1229
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA02465100 New Jersey
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA02465100 New Jersey

Profile Details

NPI number 1235283938
LBN Legal business name Castilla, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jan 19th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235283938 NPPES
New Jersey MEDICAID 477050101

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