Individual
CHRISTINA K COSTANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00544700
NJ
Other
Enumeration date
05/06/2019
Last updated
10/10/2019
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