Provider Demographics
NPI:1023093556
Name:BIASCAN, ANTHONY CASTILLO (MD)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:CASTILLO
Last Name:BIASCAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 836 BOX 556
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09636-0010
Mailing Address - Country:US
Mailing Address - Phone:314-624-5331
Mailing Address - Fax:
Practice Address - Street 1:PSC 836 BOX 556
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09636-0010
Practice Address - Country:US
Practice Address - Phone:314-624-5331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00024406207QA0505X
CAC529742083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine