Individual
MRS. JOSEPHINE COSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9000 FELLOWSHIP RD, BASKING RIDGE, NJ 07920-3912
(908) 580-3800
Mailing address
818 MEYERSVILLE RD, GILLETTE, NJ 07933-1008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00679500
NJ
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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