Individual
DR. ALFRED S COSTANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
191 MAIN ST, DANBURY, CT 06810-6614
(203) 748-4800
(203) 748-1239
Mailing address
191 MAIN ST, DANBURY, CT 06810-6614
(203) 748-4800
(203) 748-1239
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CT000747
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000747CT02
ANTHEM BLUE CROSS BLUE
CT
01
—
506594
AETNA
CT
01
—
P463970
OXFORD
CT
Enumeration date
05/15/2007
Last updated
07/08/2007
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