Provider Demographics
NPI:1912970955
Name:CASTALDO, DAVID JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JAMES
Last Name:CASTALDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11314
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4004
Mailing Address - Country:US
Mailing Address - Phone:757-842-4481
Mailing Address - Fax:757-312-3135
Practice Address - Street 1:648 GRASSFIELD PKWY STE 1
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-7465
Practice Address - Country:US
Practice Address - Phone:757-312-6797
Practice Address - Fax:757-410-0390
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054197207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA250876OtherANTHEM
VA2102676OtherUHC/MAMSI
VAPAROtherCIGNA
VAPAROtherAETNA
VA13501OtherSENTARA
NC890620JMedicaid
NCBC/BSOther0620J
VAPAROtherUSA MANAGED CARE
VA12887OtherSENTARA
VAPAROtherVIRGINIA PREMIER HEALTH
VA005806151Medicaid
VA006090362Medicaid
VA-028OtherTRICARE/CHAMPUS
VA264520OtherANTHEM
VAPAROtherCORVEL/CORCARE
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHEN HEALTH/COVENTRY
VAPAROtherMULTIPLAN
VAPAROtherAETNA
VA2102676OtherUHC/MAMSI
VAPAROtherCIGNA