Joseph P Costanzo (NPI# 1578672242, PAC ID# 1456526029) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
Nation Provider ID (NPI) | 1578672242 |
PAC ID by PECOS | 1456526029 |
Professional Enrollment ID | I20111209000014 |
Full Name | Joseph P Costanzo |
Address |
425 N Rd Hampden MA 01036-9535 |
Phone Number | 4135668503 |
Gender | M |
Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
Graduation Year | 1983 |
Primary Specialty | CLINICAL PSYCHOLOGIST |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
425 N Rd, Hampden, MA 01036-9535 | 4135668503 |
Street Address |
425 N RD |
City | HAMPDEN |
State | MA |
Zip | 01036-9535 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scot A Mccomas | Physical Therapy | 2 Allen St, D, Hampden, MA 01036-9552 |
City | HAMPDEN |
Zip Code | 01036 |
Specialty | CLINICAL PSYCHOLOGIST |
City + Specialty | HAMPDEN + CLINICAL PSYCHOLOGIST |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.