NPI | 1578852935 |
---|---|
Former Legal Business Name | WILLIAM CASTILA, MD |
Entity Type | Organization |
Authorized Contact | WILLIAM CASTILLA Owner 973-365-1377 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ MA02465100) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2014-04-22 |