| John G Costino Do | |
|
404 Surf Ave North Wildwood NJ 08260-5865 | |
| (609) 522-8358 | |
| Not Available |
| Full Name | John G Costino Do |
|---|---|
| Speciality | Family Medicine |
| Location | 404 Surf Ave, North Wildwood, New Jersey |
| Authorized Official Name and Position | John G Costino (OWNER) |
| Authorized Official Contact | 6095228358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John G Costino Do 404 Surf Ave North Wildwood NJ 08260-5865 Ph: (609) 522-8358 | John G Costino Do 404 Surf Ave North Wildwood NJ 08260-5865 Ph: (609) 522-8358 |
| NPI Number | 1851355374 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851355374 | NPI | - | NPPES |
| 2808501 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB02575800 (New Jersey) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | MB02575800 (New Jersey) | Secondary |
North Wildwood Medical Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 New Jersey Ave, North Wildwood, NJ 08260 Phone: 609-522-3131 Fax: 609-522-9024 |