Constantino, Edwin M.

Constantino, Edwin M. is an individual health care provider with primary practice located at 10 Huron Ave Apt 1L , Jersey City NJ 07306-3627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Constantino, Edwin M. can be contacted via phone (201) 656-0440.

Contact Information

Primary practice address
10 Huron Ave Apt 1L Jersey City NJ 07306-3627
Phone: (201) 656-0440
Fax: (201) 656-3444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA05482600 New Jersey

Profile Details

NPI number 1083708309
LBN Legal business name Constantino, Edwin M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Feb 18th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083708309 NPPES
New Jersey MEDICAID 1661400

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