Costanzo, Patricia Ann

Costanzo, Patricia Ann is an individual health care provider with primary practice located at 4 Sea Oats Ln , Savannah GA 31411-3102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Costanzo, Patricia Ann can be contacted via phone (912) 598-3960.

Contact Information

Primary practice address
4 Sea Oats Ln Savannah GA 31411-3102
Phone: (912) 598-3960
Fax: (912) 598-3961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036709 Georgia

Profile Details

NPI number 1689672438
LBN Legal business name Costanzo, Patricia Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jun 16th, 2008 - about 16 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 1689672438 NPPES
Georgia MEDICAID 000835986C
Georgia Other 768294
Georgia MEDICAID G36709

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