CASTOR PRIMARY CARE LLC NPI 1902034465

NPI Information

CASTOR PRIMARY CARE LLC is a primary care clinic center in Philadelphia, PA. CASTOR PRIMARY CARE LLC NPI is 1902034465. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6044 CASTOR AVE
SUITE 101
PHILADELPHIA, PA
ZIP 19149-205
Phone: (215) 535-5616
Fax: (215) 535-5618

The provider's authorized official is David Ralic .
The authorized official title is Officer and has the following contact phone number (215) 535-5616.

The enumeration date for this NPI number is 6/23/2009 and was last updated on 12/16/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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