Individual
DR. JOSEPH M CONSTANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
300 HAMMOND ST, BANGOR, ME 04401
(207) 942-9301
(207) 942-9301
Mailing address
300 HAMMOND ST, BANGOR, ME 04401
(207) 942-9301
(207) 942-9301
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD135
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000357
BLUE CROSS
ME
05
—
107220000
—
ME
01
—
480033731
PALMETTO GBA
—
Enumeration date
09/08/2006
Last updated
12/18/2007
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