Individual provider · NPI-1
Olivia Castro, D.O
Family Medicine · Smyrna, DE
NPI number1285094532
StatusActive
Last updated in NPPESSep 18, 2024
Details
- NPI
- 1285094532
- Entity type
- Individual (NPI-1)
- Name
- Olivia Castro
- Credential
- D.O
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 29, 2016
- Certification date
- Sep 18, 2024
- Last updated
- Sep 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | C2-0013019 | DE | Yes |
Practice location
100 S Main St Ste 207Smyrna, DE 19977-1479
Phone 302-659-4490 · Fax 302-659-4495
Mailing address
100 S Main St Ste 207Smyrna, DE 19977-1479
Phone 302-659-4490 · Fax 302-659-4495
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