Provider Demographics
NPI:1528322336
Name:CASTIMORE, EMERY (VMD)
Entity type:Individual
Prefix:DR
First Name:EMERY
Middle Name:
Last Name:CASTIMORE
Suffix:
Gender:M
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 US HIGHWAY 206
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07822
Mailing Address - Country:US
Mailing Address - Phone:973-579-1224
Mailing Address - Fax:973-579-1745
Practice Address - Street 1:112 US HIGHWAY 206
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:NJ
Practice Address - Zip Code:07822
Practice Address - Country:US
Practice Address - Phone:973-579-1224
Practice Address - Fax:973-579-1745
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00196800174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian