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

PAUL STEPHEN COSTANZO, PA-C

Active

PAUL STEPHEN COSTANZO, PA-C is a Medical Physician Assistant healthcare provider located in PAW PAW, Michigan. NPI 1104845239 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PAW PAW, MI

Registration Details

NPI Number
1104845239
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2006 (20.112130597573 yrs)
Last Updated
Sep 27, 2010
License
5601003700 (MI)

Practice Information

Address
404 HAZEN ST
SUITE L3
PAW PAW, MI, 490791040
Browse MI providers · Browse ZIP 49079
Phone
2696571595
Fax
2696571534
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in PAW PAW, MI

Name Credential NPI
MR. GREGORY ROBERT HUGHES PA-C 1811048101
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.