Desarae Costanzo
Desarae Costanzo is a Physician Assistant in Philadelphia, Pennsylvania. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
4170 City AvePhiladelphia, PA 19131-1610
Phone: (215) 871-6100
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1346995446 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 16, 2022 |
| Last updated in NPPES | February 16, 2022 |
| Certification date | February 16, 2022 |
| Mailing address | 1595 Dreshertown Rd, Dresher, PA 19025-1421 |
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