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Individual

DR. RALPH COSTANZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
343 US HIGHWAY 46, MINE HILL, NJ 07803-2920
(973) 584-7776
(973) 584-2585
Mailing address
343 US HIGHWAY 46, MINE HILL, NJ 07803-2920
(973) 584-7776
(973) 584-2585

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00144200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7157607
NJ
Enumeration date
04/09/2007
Last updated
07/08/2007
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