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Individual
THOMAS GUY COSTANTINO JR.
Active
Individual
THOMAS GUY COSTANTINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD066365L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017529860004
—
PA
01
—
0338236000
INDEPENDENCE BC
PA
01
—
560075
HIGHMARK BS
PA
Enumeration date
03/14/2006
Last updated
04/24/2018
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