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NPI Code Detail

MEDICARE: DINO C CONSTANTINOU MD

MEDICARE: DINO C CONSTANTINOU MD
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
1207R00000XInternal Medicine Physician136551MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770578932
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINO C CONSTANTINOU MD
Provider Business Mailing Address
First Line : 110 LIBERTY ST
Second Line :
City : BROCKTON
State : MA
Zip : 02301-5674
Country : US
Telephone Number : 508-894-0400
Fax Number : 508-894-0412
Provider Business Practice Location Address
First Line : 110 LIBERTY ST
Second Line :
City : BROCKTON
State : MA
Zip : 02301-5674
Country : US
Telephone Number : 508-894-0400
Fax Number : 508-894-0412
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 07/15/2024

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Directions to “ DINO C CONSTANTINOU MD” Practice Location

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