| Marco Antonio Castillo Rodriguez, MD | |
|
80 Seymour St, Hartford, CT 06106-3300 | |
| (860) 545-5000 | |
| (860) 545-5066 |
| Full Name | Marco Antonio Castillo Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 80 Seymour St, Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104353051 | NPI | - | NPPES |
| 75453 | Other | CT | CONNECTICUT LICENSE |
| T4881 | Other | MS | MISSISSIPPI STATE BOARD LICENSURE |
| 75453 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 75453 (Connecticut) | Primary |
| Entity Name | Integrated Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881636397 PECOS PAC ID: 1759281165 Enrollment ID: O20040112000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Marco Antonio Castillo Rodriguez, MD 2 Corporate Dr Fl 9, Shelton, CT 06484-6238 Ph: (203) 929-7353 | Marco Antonio Castillo Rodriguez, MD 80 Seymour St, Hartford, CT 06106-3300 Ph: (860) 545-5000 |
Phillip Dennen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-6654 Fax: 860-714-8110 | |
Frank J Setter, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-6654 Fax: 860-714-8110 | |
Nitish Gupta, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 | |
David Joseph Rovello, Anesthesiology Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-6654 | |
Adam Jason Sachs, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06102 Phone: 516-521-8645 | |
Ethan Kim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000 |