Costanzo, Gregory Richard

Costanzo, Gregory Richard is an individual health care provider with primary practice located at 1 Vanderbilt Park Dr Suite 100, Asheville NC 28803-1736. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Costanzo, Gregory Richard can be contacted via phone (828) 277-8042.

Contact Information

Primary practice address
1 Vanderbilt Park Dr Suite 100 Asheville NC 28803-1736
Phone: (828) 277-8042
Fax: (828) 277-8046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 378 North Carolina

Profile Details

NPI number 1477516813
LBN Legal business name Costanzo, Gregory Richard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Mar 11th, 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 1477516813 NPPES
North Carolina Other 0813M BCBS
North Carolina MEDICAID 890813M BCBS
North Carolina Other 2771043 BCBS

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