Individual
MARIA COSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
821 HUNTINGDON PIKE, HUNTINGDON VALLEY, PA 19006-8365
(215) 938-3413
(215) 938-3422
Mailing address
1650 HUNTINGDON PIKE, SUITE 313, MEADOWBROOK, PA 19046-8004
(215) 938-3413
(215) 938-3422
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN509377L
PA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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