Provider Demographics
NPI:1730298720
Name:CASTILLO, JOSE D (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:D
Last Name:CASTILLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:28 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-1733
Mailing Address - Country:US
Mailing Address - Phone:413-536-4574
Mailing Address - Fax:
Practice Address - Street 1:575 BEECH ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2223
Practice Address - Country:US
Practice Address - Phone:413-534-2845
Practice Address - Fax:413-540-5053
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA49034207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAH10166Medicare ID - Type Unspecified