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NPI Code Detail

MEDICARE: JOHN B CONSTANTINE M.D.

MEDICARE:   JOHN B CONSTANTINE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist71751MA
2207W00000XOphthalmology Physician71751MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
9180007OTHERMARAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1981909OTHERMANET WORK HEALTH
2158296OTHERMAPHCS
321480OTHERMAHEALTH SOURCE
47494OTHERMADAVIS VISION
50004859OTHERMANEIGHBORHOOD HEALTH PLAN
615288OTHERMAHARVARD PILGRIM HEALTH
732774OTHERMAJOHN HANCOCK/CHILDERN
8P451314OTHERMAOXFORD HEALTH
100800093OTHERMAEVER CARE
1121879OTHERMAFALLON
12B26214OTHERMABC/BS MA
13CIGNAOTHERMA20516
14S000303OTHERMACHAMPUS
15MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437157765
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN B CONSTANTINE M.D.
Provider Business Mailing Address
First Line : 19 VILLAGE SQ
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-2712
Country : US
Telephone Number : 978-256-5600
Fax Number : 978-703-0250
Provider Business Practice Location Address
First Line : 19 VILLAGE SQ
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-2712
Country : US
Telephone Number : 978-256-5600
Fax Number : 978-703-0250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 09/29/2011

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Directions to “ JOHN B CONSTANTINE M.D.” Practice Location

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