CONSTANTINA KOSTKA


Address: 1560 Commonwealth Ave, Apt. #16, Brighton, MA 02135-5038
Phone: 6173125056

CONSTANTINA KOSTKA (NPI# 1326596396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326596396
Entity Type Individual
Full Name CONSTANTINA KOSTKA
Credential PA
Practice Address 1560 Commonwealth Ave
Apt. #16
Brighton
MA 02135-5038
Practice Telephone 6173125056
Mailing Telephone 6173125056
Enumeration Date 2016-09-19
Last Update Date 2016-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
S71060502 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1560 COMMONWEALTH AVE
APT. #16
City BRIGHTON
State MA
Zip Code 02135-5038

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689919318 Alexis Grant Kochevar Physician Assistant 70 S 20th Ave Ste H, Brighton, CO 80601-3704 2012-12-06
1851529978 Mark Brian Mcintee Physician Assistant 7575 W. Grand River, Brighton, MI 48114 2009-06-26
1154804847 Rebecca Lynn Kahn Physician Assistant 8273 Grand River Rd Ste 210, Brighton, MI 48114-9346 2018-09-10
1831695634 Amanda Dvorak Physician Assistant 2801 Purcell St, Brighton, CO 80601 2018-04-02
1942759998 Stephen Norris Pope-rolewski Physician Assistant 2801 Purcell St, Brighton, CO 80601-3551 2016-09-30
1780032524 Alyssa Zantello Physician Assistant 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 2016-06-02
1689070963 Shawna Karman Physician Assistant 2801 Purcell St, Brighton, CO 80601-3551 2014-11-13
1013324367 Lane Marie Bryant Physician Assistant 1860 E Egbert St, Brighton, CO 80601-2475 2014-07-18
1083902811 Lindsay C. Stanley Physician Assistant 736 Cambridge St, Brighton, MA 02135-2907 2011-07-14
1326349655 Eva Marie Michals Physician Assistant 7960 Grand River Rd, Suite 160, Brighton, MI 48114-7330 2010-11-03
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Competitor

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City BRIGHTON
Zip Code 02135

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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