Individual
DR. ANTHONY MICHAEL COSTRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 ISLANDERS RETREAT, SAVANNAH, GA 31411-2941
(912) 429-6054
Mailing address
55 ISLANDERS RETREAT, SAVANNAH, GA 31411-2941
(912) 429-6054
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
014476
GA
207RP1001X
Pulmonary Disease Physician
Primary
014476
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000148519L
—
GA
01
—
409112018
RAILROAD MEDICARE
GA
01
—
C196265
SOUTH CAROLINA MEDICAID
GA
Enumeration date
07/18/2006
Last updated
01/16/2020
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