Castillo, Luciano

Castillo, Luciano is an individual health care provider with primary practice located at 29Th Street At Avenue E , Bayonne NJ 07002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Castillo, Luciano can be contacted via phone (201) 858-5461.

Contact Information

Primary practice address
29Th Street At Avenue E Bayonne NJ 07002
Fax: (201) 243-4229
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA04909700 New Jersey

Profile Details

NPI number 1639173073
LBN Legal business name Castillo, Luciano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Nov 1st, 2007 - about 16 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 1639173073 NPPES
New Jersey MEDICAID 0004499

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