Doctor Name: | DR. ANTHONY CASTILLO BIASCAN |
NPI Number: | 1023093556 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 00024406 |
Business Practice Address: | Psc 836 Box 556 Fpo, AE - 096360010 |
Business Phone Number: | 3146245331 |
Business Fax Number: | |
Mailing Address: | Psc 836 Box 556, FPO |
State: | AE |
Postal Code: | 096360010 |
Phone Number: | 3146245331 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2005 |
NPI Last Update Date: | 12/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 00024406 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |