Corey Joan Costanzo, DO, MPH, MS
Family Medicine in Barre, MA. Individual provider (NPI-1).
NPI number1780144055
StatusActive
Last updated in NPPESAug 4, 2022
Details
- NPI
- 1780144055
- Entity type
- Individual (NPI-1)
- Name
- Corey Joan Costanzo
- Credential
- DO, MPH, MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2019
- Certification date
- Aug 4, 2022
- Last updated
- Aug 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 291048 | MA | Yes |
Practice location
151 Worcester RdBarre, MA 01005-9099
Phone 978-355-6321 · Fax 978-355-6549
Mailing address
Po Box 415348Boston, MA 02241-5348
Phone 800-225-8885 · Fax 508-334-8105
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