Individual
ANTONIO COSTANTINO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3235
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3235
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
12/22/2015
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