Provider Demographics
NPI:1770553539
Name:CASTIGLIONE, THOMAS FRANK (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:FRANK
Last Name:CASTIGLIONE
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 1:5 TARKILN RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02364-1250
Mailing Address - Country:US
Mailing Address - Phone:781-585-2200
Mailing Address - Fax:
Practice Address - Street 1:5 TARKILN RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364-1250
Practice Address - Country:US
Practice Address - Phone:781-585-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227436207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
495241OtherTUFTS MEDICARE PREFERRED
J40763OtherBCBSMA
117357OtherFALLON
042297845OtherHCVM/FIRST HEALTH/COVENTY
042297845OtherPHCS/MULTI-PLAN
495241OtherTUFTS HEALTH CARE
042297845OtherGIC/UNICARE
042297845OtherTRICARE
MA2128250Medicaid
A40373OtherMEDICARE
AA63747OtherHARVARD PILGRIM
042297845OtherUNITED HEALTH CARE
0700960OtherCIGNA
0039299OtherNHP
7915835OtherAETNA
495241OtherTUFTS MEDICARE PREFERRED