Adrian J. Costanza | |
48 Newhall St Revere MA 02151-2327 | |
(781) 289-8050 | |
(781) 289-8051 |
Full Name | Adrian J. Costanza |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 48 Newhall St, Revere, Massachusetts |
Authorized Official Name and Position | Adrian Joseph Costanza (ORTHODONTIST) |
Authorized Official Contact | 9787748266 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adrian J. Costanza 48 Newhall St Revere MA 02151-2327 Ph: (781) 289-8050 | Adrian J. Costanza 48 Newhall St Revere MA 02151-2327 Ph: (781) 289-8050 |
NPI Number | 1356543458 |
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Provider Enumeration Date | 06/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356543458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8910 (Massachusetts) | Primary |
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