Provider Demographics
NPI:1043396302
Name:CASTALDI, FRANK PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PAUL
Last Name:CASTALDI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:0NE BANK STREET
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901
Mailing Address - Country:US
Mailing Address - Phone:203-324-1606
Mailing Address - Fax:203-324-4357
Practice Address - Street 1:0NE BANK STREET
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-3006
Practice Address - Country:US
Practice Address - Phone:203-324-1606
Practice Address - Fax:203-324-4357
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-30
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1074152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT090001074CT01OtherANTHEM
CT004068409Medicaid
CT7359876831OtherCONNECTICARE
CTT22524Medicare UPIN
CT7359876831OtherCONNECTICARE