| Costanza Medical Associates Llc | |
|
187 Chestnut St Nutley NJ 07110-4320 | |
| (973) 667-3719 | |
| (973) 667-6974 |
| Full Name | Costanza Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 187 Chestnut St, Nutley, New Jersey |
| Authorized Official Name and Position | Carl Costanza (PHYSICIAN) |
| Authorized Official Contact | 9736674402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Costanza Medical Associates Llc 187 Chestnut St Nutley NJ 07110-4320 Ph: (973) 667-3719 | Costanza Medical Associates Llc 187 Chestnut St Nutley NJ 07110-4320 Ph: (973) 667-3719 |
| NPI Number | 1962091033 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962091033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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