Costantino, Mark John
Costantino, Mark John is an individual health care provider with primary practice located at 195 King Ave , Athens GA 30606-2963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Costantino, Mark John can be contacted via phone (706) 549-8306.Contact Information
Primary practice address
195 King Ave
Athens GA 30606-2963
Phone: (706) 549-8306
Fax: (706) 549-8351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 15361 | Georgia |
Profile Details
| NPI number | 1447247523 |
|---|---|
| LBN Legal business name | Costantino, Mark John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Sep 28th, 2011 - about 13 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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