Organization Name: | NATHAN CASTLEMAN, D.P.M. |
NPI Number: | 1588853279 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELISSA GRAPES (OFFICE MANAGER) |
Mailing Address: | 1223e National Hwy Lavale |
State: | MD US |
Postal Code: | 215027602 |
Phone Number: | 3017291838 |
Fax Number: | 3017291839 |
NPI Enumeration Date: | 10/18/2007 |
NPI Last Update Date: | 10/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 00548 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |