Provider Demographics
NPI:1407934789
Name:CASTRO, MARCIA GINA C (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA GINA
Middle Name:C
Last Name:CASTRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2055 LIMESTONE RD
Mailing Address - Street 2:SUITE111
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-5536
Mailing Address - Country:US
Mailing Address - Phone:302-999-8169
Mailing Address - Fax:302-999-8190
Practice Address - Street 1:2055 LIMESTONE RD
Practice Address - Street 2:SUITE111
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5536
Practice Address - Country:US
Practice Address - Phone:302-999-8169
Practice Address - Fax:302-999-8190
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10006460207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001179401Medicaid
008841D57Medicare ID - Type Unspecified
H53990Medicare UPIN