Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD428911 | PA |
Y | 208600000X | Surgeon | MD428911 | PA |
N | 2086S0129X | Vascular Surgeon | MD428911 | PA |
NPI | 1174543490 |
---|---|
Provider Name | Dr. John Joseph Castronuovo JR. |
First Address | York, PA 17403-3026 |
Second Address | York, PA 17403-5060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 10/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007257015 | (05) | PA |
103994 | GEISINGER (01) | PA |
1557018 | GATEWAY-WMG (01) | PA |
1884268 | HIGHMARK BLUE SHIELD (01) | PA |
20057885 | AMERIHEALTH MERCY-WMG (01) | PA |
205439 | JOHNS HOPKINS (01) | PA |
212602 | UNISON-WMG CARD SURG (01) | PA |
2159735 | MAMSI-WMG CARD SURG (01) | PA |
4535126 | AETNA (01) | PA |
50069349 | CAPITAL BC-WMG CARD SURG (01) | PA |
C55999 | (02) | PA |