Individual
DR. GREGORY RICHARD COSTANZO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1 VANDERBILT PARK DR, SUITE 100, ASHEVILLE, NC 28803-1736
(828) 277-8042
(828) 277-8046
Mailing address
1 VANDERBILT PARK DR, SUITE 100, ASHEVILLE, NC 28803-1736
(828) 277-8042
(828) 277-8046
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
378
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0813M
BCBS
NC
01
—
2771043
UHC
NC
05
—
890813M
—
NC
Enumeration date
04/07/2006
Last updated
03/11/2008
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