person
Mark A Costanzo, NP
Pediatric Nurse Practitioner in Boston, Massachusetts
NPI 1659850345

Mark A Costanzo is a Pediatric Nurse Practitioner based in Boston, MA and is specialized in Pediatrics. Mark A Costanzo practices in Boston, MA and has the professional credentials of NP. The NPI Number for Mark A Costanzo is 1659850345 and holds a License No. 78321 (Massachusetts).

The current practice location address for Mark A Costanzo is 300 Longwood Ave, Boston, MA and can be reached out via phone at 617-355-6000.

Location: 300 Longwood Ave, Boston, MA, 02115-5724
person
Provider Profile Details
NPI Number
1659850345
Provider Name
Mark A Costanzo
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
300 Longwood Ave, Boston, MA, 02115-5724
Phone Number
617-355-6000
Fax Number
Provider Enumeration Date
08/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Longwood Ave
City
State
Zip
02115-5724
Phone Number
617-355-6000
Fax Number
person
Provider Business Mailing Address Details
Address
300 Longwood Ave
City
State
Zip
02115-5724
Phone Number
617-355-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
78321 (Kansas)
Definition
Definition to come...
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