Provider Demographics
NPI:1811991276
Name:CASTELLI, JOSEPH LOUIS JR (DO)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LOUIS
Last Name:CASTELLI
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 22581
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-2581
Mailing Address - Country:US
Mailing Address - Phone:610-482-4795
Mailing Address - Fax:856-528-3117
Practice Address - Street 1:583 SHOEMAKER RD
Practice Address - Street 2:STE 104
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-4217
Practice Address - Country:US
Practice Address - Phone:610-265-0184
Practice Address - Fax:610-265-4088
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2021-06-30
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Provider Licenses
StateLicense IDTaxonomies
PAOS006403E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PWE88198Medicare UPIN
PA524458Medicare ID - Type Unspecified