Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK JOHN COSTANTINO, MD
ActiveDR. MARK JOHN COSTANTINO, MD is a Vascular Surgery healthcare provider located in ATHENS, Georgia. NPI 1447247523 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · ATHENS, GA
Registration Details
- NPI Number
- 1447247523
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2005 (20.884404449497 yrs)
- Last Updated
- Sep 28, 2011
- License
-
15361 (GA)
Practice Information
- Address
-
195 KING AVEATHENS, GA, 306062963Browse GA providers · Browse ZIP 30606
- Phone
- 7065498306
- Fax
- 7065498351
- Primary Specialty
-
Vascular Surgery
2086S0129X
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.