Individual
COREY JOAN COSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MPH, MS
Contact information
Practice address
151 WORCESTER RD, BARRE, MA 01005-9099
(978) 355-6321
(978) 355-6549
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-8105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
291048
MA
Other
Enumeration date
03/22/2019
Last updated
08/04/2022
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