Organization
CHRISTINE COSTANZO M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE MARIE COSTANZO M.D. (PSYCHIATRIST)
(608) 347-6759
Entity
Organization
Contact information
Practice address
16 N. CARROLL ST., STE. 710, MADISON, WI 53703
(608) 255-4747
Mailing address
1824 YAHARA PL, MADISON, WI 53704-5557
(608) 347-6759
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36169
WI
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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