# EDWIN CONSTANTINO MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548438039
- **Authorized official:** DR. EDWIN CONSTANTINO MD (OWNER)
- **Authorized official phone:** (201) 656-0440

## Contact information

- **Practice address:** 10 HURON AVE APT 1L, JERSEY CITY, NJ 07306-3627
- **Practice address phone:** (201) 656-0440
- **Practice address fax:** (201) 656-3444
- **Mailing address:** 10 HURON AVE APT 1L, JERSEY CITY, NJ 07306-3627
- **Mailing address phone:** (201) 656-0440
- **Mailing address fax:** (201) 656-3444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MA05482600 | NJ | Yes |

## Other

- **Enumeration date:** 02/19/2008
- **Last updated:** 02/19/2008