Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 270042 | MA |
N | 111NI0900X | Internist | 270042 | MA |
N | 207R00000X | Internist | 52427 | MN |
N | 111NI0900X | Internist | 52427 | MN |
N | 207RH0002X | Hospice and Palliative Medicine | 04128 | IA |
N | 207RH0002X | Hospice and Palliative Medicine | 168039 | OR |
Y | 207RH0002X | Hospice and Palliative Medicine | 270042 | MA |
NPI | 1164699583 |
---|---|
Provider Name | Dr. Isabel Cristina Castro |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01655 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2008 |
Last Update Date | 30/10/2020 |