Provider Demographics
NPI:1073550125
Name:CASTERIOTO, JOSEPH P (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:CASTERIOTO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5056 STATE ROAD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026
Mailing Address - Country:US
Mailing Address - Phone:610-853-1515
Mailing Address - Fax:484-461-7067
Practice Address - Street 1:5056 STATE RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-4609
Practice Address - Country:US
Practice Address - Phone:610-853-1515
Practice Address - Fax:484-461-7067
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007299L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA023324Medicare ID - Type UnspecifiedCHIROPRACTOR
PAU73650Medicare UPIN