person
Mr. Jody James Decastro, PA-C
Medical Physician Assistant in Erie, Pennsylvania
NPI 1457633943

Jody James Decastro is a Medical Physician Assistant based in Jamestown, PA and is specialized in Medical. Jody James Decastro practices in Erie, PA and has the professional credentials of PA-C. The NPI Number for Jody James Decastro is 1457633943 and holds a License No. 015034 (Pennsylvania).

The current practice location address for Jody James Decastro is 1910 Sassafras St Ste 300, Erie, PA and can be reached out via phone at 814-452-7575 and via fax at 814-452-7574. You can also correspond with Jody James Decastro through the mailing address at 152 FOOTE AVENUE, JAMESTOWN, NY - 14701 (mailing address contact number: 716-664-5290).

Location: 1910 Sassafras St Ste 300, Erie, PA, 14701
person
Provider Profile Details
NPI Number
1457633943
Provider Name
Jody James Decastro
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1910 Sassafras St Ste 300, Erie, PA, 14701
Phone Number
814-452-7575
Fax Number
814-452-7574
Provider Enumeration Date
09/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12292814 01 CAQH
institution
Provider Business Practice Location Address Details
Address
1910 Sassafras St Ste 300
City
State
Zip
16502-2716
Phone Number
814-452-7575
Fax Number
814-452-7574
person
Provider Business Mailing Address Details
Address
1910 Sassafras St Ste 300
City
State
Zip
16502-2716
Phone Number
814-452-7575
Fax Number
814-452-7574
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
015034 (New York)
Definition
Definition to come...
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