Individual
THOMAS GUY COSTANTINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5030
(215) 707-3494
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-5030
(215) 707-3494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD066365L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017529860004
—
PA
01
—
0338236000
INDEPENDENCE BC
PA
01
—
560075
HIGHMARK BS
PA
Enumeration date
03/14/2006
Last updated
04/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us