| Doctor Name: | CAROLYN COSTANZI |
| NPI Number: | 1013036789 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD16529 |
| Business Practice Address: | 193 Main St Suite 9 Norway, ME - 042685645 |
| Business Phone Number: | 2077437605 |
| Business Fax Number: | 2077431579 |
| Mailing Address: | 300 Southborough Dr, Suite 201 SOUTH PORTLAND |
| State: | ME |
| Postal Code: | 041066914 |
| Phone Number: | 2076612000 |
| Fax Number: | 2076612033 |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 05/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | MD16529 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |