Provider Demographics
NPI:1033350590
Name:CASTANEDA, JULIAN LEONARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:LEONARDO
Last Name:CASTANEDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 PARKER AVE
Mailing Address - Street 2:UNIT 12
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-4451
Mailing Address - Country:US
Mailing Address - Phone:267-335-4354
Mailing Address - Fax:
Practice Address - Street 1:301 S 7TH AVE
Practice Address - Street 2:SUITE 235
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1410
Practice Address - Country:US
Practice Address - Phone:610-988-8589
Practice Address - Fax:610-988-5976
Is Sole Proprietor?:No
Enumeration Date:2009-03-13
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT193581207L00000X, 208600000X
PAMD444397207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery