Individual
ALLISON COSTENBADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 84TH ST, EAST, SEA ISLE CITY, NJ 08243-1122
(301) 957-4174
Mailing address
120 84TH ST, EAST, SEA ISLE CITY, NJ 08243-1122
(301) 957-4174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061430
PA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/01/2020
Last updated
02/18/2025
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