Individual
EDWIN M. CONSTANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 HURON AVE APT 1L, JERSEY CITY, NJ 07306-3627
(201) 656-0440
(201) 656-3444
Mailing address
10 HURON AVE SUITE 1-L, JERSEY CITY, NJ 07306-3641
(201) 656-0440
(201) 656-3444
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA05482600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1661400
—
NJ
Enumeration date
10/03/2006
Last updated
02/18/2008
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