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1417103128
GARY COSTANZO
MANCHESTER, NH
NPI
1417103128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NH 0686)
Enumeration Date
2008-08-13
Last Update Date
2015-10-14
Business Address
-- GARY COSTANZO PA
1 ELLIOT WAY EMERGENCY ROOM
MANCHESTER, NH 03103-3502
Phone number: 603-663-2830
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Mailing Address
-- GARY COSTANZO PA
250 PLEASANT STREET EMERGENCY DEPT
CONCORD, NH 03301-2598
Phone number: 603-227-7000
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