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OIG exclusion detail

MARLON CASTILLO

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
1609857200
Name
MARLON FIDEL CASTILLO
Address
31 STRAWBERRY HILL AVE, STE 2, STAMFORD, CT, 06902
Specialty
FAMILY PRACTICE
Exclusion type
1128a3
Exclusion date
20150820
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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