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Dr. James Thomas Costanzo, MD
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1780371450

James Thomas Costanzo is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. James Thomas Costanzo practices in Farmington, CT and has the professional credentials of MD. The NPI Number for James Thomas Costanzo is 1780371450 and holds a License No. (Connecticut).

The current practice location address for James Thomas Costanzo is 263 Farmington Ave, Farmington, CT and can be reached out via phone at 860-679-4888 and via fax at 860-679-0134.

Location: 263 Farmington Ave, Farmington, CT, 06030-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780371450
Provider Name
James Thomas Costanzo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
263 Farmington Ave, Farmington, CT, 06030-1921
Phone Number
860-679-4888
Fax Number
860-679-0134
Provider Enumeration Date
04/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0002
Phone Number
860-679-4888
Fax Number
860-679-0134
person
Provider Business Mailing Address Details
Address
263 Farmington Ave
City
Farmington
State
Connecticut
Zip
06030-0002
Phone Number
860-679-4888
Fax Number
860-679-0134
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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