Dr. Jason Alfred Castellanos, M.D.
Surgery in Philadelphia, PA. Individual provider (NPI-1).
NPI number1124262811
StatusActive
Last updated in NPPESAug 31, 2020
Details
- NPI
- 1124262811
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Alfred Castellanos
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2009
- Certification date
- Aug 31, 2020
- Last updated
- Aug 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD471916 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
333 Cottman AvePhiladelphia, PA 19111-2497
Phone 215-728-3095 · Fax 215-728-2773
Mailing address
2146 Belcourt AveVmg Business Office
Nashville, TN 37212-3504
Phone 615-322-4916
Other practice locations
209 Light Hall
Nashville, TN 37232
Nashville, TN 37232
Phone 615-322-4916
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