Basic Information
Provider Information
NPI: 1235221078
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CASTLE
FirstName: ERIK
MiddleName: PETER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1430 TULANE AVE # 8642
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701122632
CountryCode: US
TelephoneNumber: 5049882750
FaxNumber:  
Practice Location
Address1: 1415 TULANE AVE FL 3
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701122600
CountryCode: US
TelephoneNumber: 5049885271
FaxNumber: 5049887655
Other Information
ProviderEnumerationDate: 09/29/2006
LastUpdateDate: 07/20/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/20/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000X36421AZN Allopathic & Osteopathic PhysiciansUrology 
208800000X323671LAY Allopathic & Osteopathic PhysiciansUrology 

No ID Information.


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