| Castle Health Care | |
|
111 Central Ave Newark NJ 07102-1909 | |
| (973) 624-4908 | |
| (973) 877-5595 |
| Full Name | Castle Health Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 111 Central Ave, Newark, New Jersey |
| Authorized Official Name and Position | Frank Joseph Casella (VICE PRESIDENT) |
| Authorized Official Contact | 9738775522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Health Care 111 Central Ave Newark NJ 07102-1909 Ph: (973) 624-4908 | Castle Health Care 111 Central Ave Newark NJ 07102-1909 Ph: (973) 624-4908 |
| NPI Number | 1811148307 |
|---|---|
| Provider Enumeration Date | 10/02/2008 |
| Last Update Date | 10/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811148307 | NPI | - | NPPES |
| 6210201 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MB053986 (New Jersey) | Primary |
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