Individual
KIMBERLY M CONSTANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3500 BOSTON ST STE J1, BALTIMORE, MD 21224-5723
(410) 522-0001
(410) 522-0017
Mailing address
3500 BOSTON ST STE J1, BALTIMORE, MD 21224-5723
(410) 522-0001
(410) 522-0017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001630
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00433594
RAILROAD MED
MD
Enumeration date
01/16/2007
Last updated
05/06/2019
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