Provider Demographics
NPI:1316509169
Name:CASTOR, ASHTIN ELIZABETH (MS, PA-C)
Entity type:Individual
Prefix:
First Name:ASHTIN
Middle Name:ELIZABETH
Last Name:CASTOR
Suffix:
Gender:F
Credentials:MS, PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:766 ROUTE 202/206
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1777
Mailing Address - Country:US
Mailing Address - Phone:908-722-0808
Mailing Address - Fax:
Practice Address - Street 1:766 US-206
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08807
Practice Address - Country:US
Practice Address - Phone:908-722-0808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2023-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00529000363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant