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Individual

JAY J CONSTANTINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 W 6TH ST, STE 5, MEDIA, PA 19063-2428
(610) 566-8342
(610) 891-8566
Mailing address
100 W 6TH ST, STE 5, MEDIA, PA 19063-2428
(610) 566-8342
(610) 891-8566

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD026063E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4298492
AETNA USH
Enumeration date
08/23/2005
Last updated
03/18/2008
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