Individual
JEFFREY COSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 E BROWN ST, EAST STROUDSBURG, PA 18301-3098
(570) 664-8115
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(610) 390-8057
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD454359
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103077684
—
PA
Enumeration date
06/29/2009
Last updated
11/10/2022
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