Gary Costanzo, PA
Physician Assistant, Medical in Manchester, New Hampshire
1417103128- Practice location
- 1 Elliot Way, Emergency Room, Manchester, NH 03103-3502
- Phone
- 603-663-2830
- Fax
- 603-663-1849
- Last updated
- October 14, 2015
Gary Costanzo is a Physician Assistant, Medical based in Manchester, NH. Gary Costanzo practices in Manchester, NH and has the professional credentials of PA. The NPI Number for Gary Costanzo is 1417103128 and holds a License No. 0686 (NH). The current practice location address for Gary Costanzo is 1 Elliot Way, Emergency Room, Manchester, NH 03103-3502 and can be reached out via phone at 603-663-2830 and via fax at 603-663-1849.
Provider Profile Details
- NPI Number
- 1417103128
- Provider Name
- Gary Costanzo
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Elliot Way, Emergency Room, Manchester, NH 03103-3502
- Phone Number
- 603-663-2830
- Fax Number
- 603-663-1849
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 13, 2008
- Last Update Date
- October 14, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Elliot Way
Emergency Room
Manchester, NH 03103-3502 - City
- Manchester
- State
- New Hampshire
- Zip
- 03103-3502
- Phone Number
- 603-663-2830
- Fax Number
- 603-663-1849
Provider Business Mailing Address Details
- Address
- 250 Pleasant Street
Emergency Dept
Concord, NH 03301-2598 - City
- Concord
- State
- NH
- Zip
- 03301-2598
- Phone Number
- 603-227-7000
- Fax Number
- 603-230-7218
License Information
- License Number
- 0686
- License State
- NH
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Gary Costanzo, PA?
The NPI number of Gary Costanzo, PA is 1417103128. It was assigned on August 13, 2008 and is currently active in the NPPES registry.
What is the specialty of Gary Costanzo, PA?
Gary Costanzo, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NH under license number 0686.
Where does Gary Costanzo, PA practice?
The practice location is 1 Elliot Way, Emergency Room, Manchester, NH 03103-3502. The office can be reached at 603-663-2830 (phone) or 603-663-1849 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417103128 directly on the NPPES registry website.