Provider Demographics
NPI:1972831469
Name:CASTLE, LON A (MD)
Entity Type:Individual
Prefix:DR
First Name:LON
Middle Name:A
Last Name:CASTLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 PARSONS POND DR
Mailing Address - Street 2:MAILSTOP F2-2
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2604
Mailing Address - Country:US
Mailing Address - Phone:201-269-6293
Mailing Address - Fax:201-269-1031
Practice Address - Street 1:100 PARSONS POND DR
Practice Address - Street 2:MAILSTOP F2-2
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-2604
Practice Address - Country:US
Practice Address - Phone:201-269-6293
Practice Address - Fax:201-269-1031
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ7444207QS0010X
OH35.066505207QS0010X
NC130781207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine