Provider Demographics
NPI:1669657623
Name:CONSTANCE, JOHN STEWART (PA-C)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:STEWART
Last Name:CONSTANCE
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:CHRISTIANA CARE HEALTH SYSTEM DEPT OF MEDICINE
Mailing Address - Street 2:4755 OGLETOWN-STANTON RD.
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-0001
Mailing Address - Country:US
Mailing Address - Phone:302-733-1000
Mailing Address - Fax:302-733-5342
Practice Address - Street 1:CHRISTIANA CARE HEALTH SYSTEM DEPT OF MEDICINE
Practice Address - Street 2:4755 OGLETOWN-STANTON RD.
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0001
Practice Address - Country:US
Practice Address - Phone:302-733-1000
Practice Address - Fax:302-733-5342
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC5-0000162363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical