Provider Demographics
NPI:1336485309
Name:CASTELLANO, CHRISTOPHER RALPH (PA-C)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:RALPH
Last Name:CASTELLANO
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1751
Mailing Address - Country:US
Mailing Address - Phone:908-322-6611
Mailing Address - Fax:908-322-8665
Practice Address - Street 1:AFC URGENT CARE
Practice Address - Street 2:214 STATE HIGHWAY 36
Practice Address - City:WEST LONG BEACH
Practice Address - State:NJ
Practice Address - Zip Code:07764
Practice Address - Country:US
Practice Address - Phone:732-222-8000
Practice Address - Fax:732-963-2246
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00295000363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant