Individual
DR. JOSEPH R DICOSTANZO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(800) 214-3106
Mailing address
459 PATTERSON RD, HONOLULU, HI 96819-1522
(800) 214-1306
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
13514
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000267682
HMSA BILLING NUMBER
—
05
—
597148-02
—
HI
Enumeration date
05/16/2006
Last updated
12/20/2024
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