| T Castellano Md Llc | |
|
762 W Eisenhower Blvd Loveland CO 80537-3157 | |
| (303) 558-9425 | |
| Not Available |
| Full Name | T Castellano Md Llc |
|---|---|
| Speciality | General Practice |
| Location | 762 W Eisenhower Blvd, Loveland, Colorado |
| Authorized Official Name and Position | Erin Castellano (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 9707757284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T Castellano Md Llc 762 W Eisenhower Blvd Loveland CO 80537-3157 Ph: (303) 588-9425 | T Castellano Md Llc 762 W Eisenhower Blvd Loveland CO 80537-3157 Ph: (303) 558-9425 |
| NPI Number | 1699559625 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 3072961572 |
|---|---|
| Medicare Enrollment ID | O20231122000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699559625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Thomas G Castellano |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1912980293 PECOS PAC ID: 8426044207 Enrollment ID: I20040426000651 |
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