Individual
DR. PETER J COSTANTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10614 RACETRACK ROAD, BERLIN, MD 21811
(410) 208-9761
(410) 208-9764
Mailing address
10026 OLD OCEAN CITY BLVD, BUILDING #1, BERLIN, MD 21811-1288
(410) 641-9450
(410) 641-9515
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MB03627200
NJ
207RP1001X
Pulmonary Disease Physician
25MB03627200
NJ
207RP1001X
Pulmonary Disease Physician
Primary
H0074232
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055770600
—
MD
01
—
68762
AETNA
—
01
—
829580
AMERIHEALTH
—
Enumeration date
09/25/2006
Last updated
08/15/2024
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