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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA LEIGH COSTANZO, PA-C

Active

SAMANTHA LEIGH COSTANZO, PA-C is a Physician Assistant healthcare provider located in WALL TOWNSHIP, New Jersey. NPI 1053152298 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WALL TOWNSHIP, NJ

Registration Details

NPI Number
1053152298
Provider Type
Individual
Gender
Female
NPI Issued
Jun 3, 2024 (2.1810650787867 yrs)
Last Updated
Aug 26, 2024
License
25MP00855900 (NJ)

Practice Information

Address
4810 BELMAR BLVD
WALL TOWNSHIP, NJ, 077536952
Browse NJ providers · Browse ZIP 07753
Phone
7329386090
Fax
7329385680
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WALL TOWNSHIP, NJ

Name Credential NPI
CHRISTINE LANG PA 1649214883
MICHAEL J CISKOWSKI PA-C 1619996402
MARCIA MOLONEY PA 1154422996
MS. HEATHER M PORTER PA-C 1588700405
MS. MONICA RIELY CLARK PA-C 1881801231
BARBARA A CALAVETTA PA-C 1760674667
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.