De Castro, Mauricio Jose

De Castro, Mauricio Jose is an individual health care provider with primary practice located at 301 Fisher St Room Gg 700, Keesler Afb MS 39534-2508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Molecular Genetics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. De Castro, Mauricio Jose can be contacted via phone (228) 376-3389.

Contact Information

Primary practice address
301 Fisher St Room Gg 700 Keesler Afb MS 39534-2508
Phone: (228) 376-3389
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Molecular Genetics 207SG0203X 0101250567 Virginia
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 0101250567 Virginia

Profile Details

NPI number 1407083256
LBN Legal business name De Castro, Mauricio Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2009
Last updated Apr 18th, 2018 - about 7 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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