Provider Demographics
NPI:1508983842
Name:CASTRO, EL TANTIONGCO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EL
Middle Name:TANTIONGCO
Last Name:CASTRO
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2312 MEDINAH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-3709
Mailing Address - Country:US
Mailing Address - Phone:301-203-8719
Mailing Address - Fax:301-203-8721
Practice Address - Street 1:6900 GEORGIA AVE NW
Practice Address - Street 2:BLDG. 2 RM.1B28
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0004
Practice Address - Country:US
Practice Address - Phone:202-782-1192
Practice Address - Fax:202-782-5036
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07453600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine