Most Relevant Information
Provider Data
| NPI Number: | 1003259987 |
| Provider Name: | EDUARDO DOMINGUEZ CASTILLO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | MD457958 |
Most Important Dates
| Enumeration Date: | 04/10/2013 |
| Last Updated: | 08/13/2020 |
Provider Practice Location
3401 N BROAD ST
812 PARKINSON PAVILION
PHILADELPHIA
PA
191405103
Practice Location Phone/Fax
| Phone: | 2157075864 |
| Fax: | 2157076867 |
Provider Mailing Location
2450 W HUNTING PARK AVE
PHILADELPHIA
PA
191291302
Provider Mailing Phone/Fax
| Phone: | 2157078561 |
| Fax: | 2157073677 |
Suggested EMR
Internist EMR