Individual
GARY COSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 ELLIOT WAY, EMERGENCY ROOM, MANCHESTER, NH 03103-3502
(603) 663-2830
(603) 663-1849
Mailing address
250 PLEASANT STREET, EMERGENCY DEPT, CONCORD, NH 03301-2598
(603) 227-7000
(603) 230-7218
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0686
NH
Other
Enumeration date
08/13/2008
Last updated
10/14/2015
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