John G Costino DO
Organization Active NPI Family Medicine Physician · North Wildwood, NJ
NPI 1851355374 · NPPES record last updated Jan 31, 2008
Key facts
- NPI
- 1851355374
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MB02575800 (NJ)
- Legal business name
- JOHN G COSTINO DO
- Practice address
- 404 Surf Ave
North Wildwood, NJ 08260-5865 - Phone
- (609) 522-8358
- NPI assigned
- Apr 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. John G Costino, DO
- Title
- Owner
- Phone
- (609) 522-8358
Practitioners 1
-
John G Costino, DO
National Provider Directory
Locations
404 Surf Ave
North Wildwood, NJ 08260
Phone (609) 522-8358
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | MB02575800 | NJ | Yes |
| Sports Medicine (Family Medicine) Physician |
207QS0010X | MB02575800 | NJ |
Addresses
Primary practice location
404 Surf Ave
North Wildwood, NJ 08260-5865
Mailing address
404 Surf Ave
North Wildwood, NJ 08260-5865
Phone (609) 522-8358
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2808501 | Medicaid | NJ |
Other providers in North Wildwood, NJ
- Steven P Footit
- William Francis Green
- Meghan Kathleen Haas
- Mary Ann Haflin
- Island Physical Therapy LLC
- Monica Therese La Salle
- Monica Lasalle & Associates
- Kevin Moore
- New Jersey CVS Pharmacy LLC
- North Wildwood Board of Education
All providers in North Wildwood, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.