Costino, John G

Costino, John G is an sole proprietor health care provider with primary practice located at 404 Surf Ave , North Wildwood NJ 08260-5865. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Costino, John G can be contacted via phone (609) 522-8358.

Contact Information

Primary practice address
404 Surf Ave North Wildwood NJ 08260-5865
Phone: (609) 522-8358
Fax: (609) 729-8662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X MB02575800 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB02575800 New Jersey

Profile Details

NPI number 1811978414
LBN Legal business name Costino, John G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2005
Last updated Jul 18th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811978414 NPPES
New Jersey MEDICAID 2808501

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