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1346995446
DESARAE COSTANZO
PHILADELPHIA, PA
NPI
1346995446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-02-16
Last Update Date
2022-02-16
Business Address
DESARAE COSTANZO
4170 CITY AVE
PHILADELPHIA, PA 19131-1610
Phone number: 215-871-6100
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Mailing Address
DESARAE COSTANZO
1595 DRESHERTOWN RD
DRESHER, PA 19025-1421
Phone number: 215-768-3331
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