Costanzo, Jeffrey
Costanzo, Jeffrey is an individual health care provider with primary practice located at 175 E Brown St , East Stroudsburg PA 18301-3098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Costanzo, Jeffrey can be contacted via phone (570) 664-8115.Contact Information
Primary practice address
175 E Brown St
East Stroudsburg PA 18301-3098
Phone: (570) 664-8115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD454359 | Pennsylvania |
Profile Details
| NPI number | 1689802746 |
|---|---|
| LBN Legal business name | Costanzo, Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2009 |
| Last updated | Nov 10th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689802746 | NPPES |
| Pennsylvania | MEDICAID | 103077684 |
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