Costanzo, Eric
Costanzo, Eric is an individual health care provider with primary practice located at 2640 Highway 70 Ste 6A , Manasquan NJ 08736-2610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Costanzo, Eric can be contacted via phone (732) 528-5900.Contact Information
Primary practice address
2640 Highway 70 Ste 6A
Manasquan NJ 08736-2610
Phone: (732) 528-5900
Fax: (732) 528-0887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MB07782000 | New Jersey |
Profile Details
| NPI number | 1700977923 |
|---|---|
| LBN Legal business name | Costanzo, Eric |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Oct 8th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700977923 | NPPES |
| New Jersey | MEDICAID | 0138461 |
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