Castro, Elsa I

Castro, Elsa I is an individual health care provider with primary practice located at 1623 Route 88 W , Brick NJ 08723-3048. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Castro, Elsa I can be contacted via phone (732) 458-9666.

Contact Information

Primary practice address
1623 Route 88 W Brick NJ 08723-3048
Fax: (732) 458-0840
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA06951100 New Jersey

Profile Details

NPI number 1639146954
LBN Legal business name Castro, Elsa I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2006
Last updated Mar 4th, 2010 - 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 1639146954 NPPES
New Jersey Other 25MA06951100 LICENSE
New Jersey MEDICAID 8331006 LICENSE

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