Costanzo, Michael
Costanzo, Michael is an individual health care provider with primary practice located at 890 Mountain Avenue Dermatology - 3Rd Fl, New Providence NJ 07974. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Costanzo, Michael can be contacted via phone (908) 277-8668.Contact Information
Primary practice address
890 Mountain Avenue Dermatology - 3Rd Fl
New Providence NJ 07974
Phone: (908) 277-8668
Fax: (908) 277-8629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 26NJ01265500 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 26NJ01265500 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 26NJ01265500 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 26NJ01265500 | New Jersey |
Profile Details
| NPI number | 1245984665 |
|---|---|
| LBN Legal business name | Costanzo, Michael |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2022 |
| Last updated | May 25th, 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.
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