Organization
COSTANZA MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL COSTANZA M.D. (PHYSICIAN)
(973) 667-4402
Entity
Organization
Contact information
Practice address
187 CHESTNUT ST, NUTLEY, NJ 07110-4320
(973) 667-3719
(973) 667-6974
Mailing address
187 CHESTNUT ST, NUTLEY, NJ 07110-4320
(973) 667-3719
(973) 667-6974
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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