Provider Demographics
NPI:1366468415
Name:CONSTANTINE, MICHAEL (MD)
Entity type:Individual
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First Name:MICHAEL
Middle Name:
Last Name:CONSTANTINE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:124 GROVE ST
Mailing Address - Street 2:STE 305
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3156
Mailing Address - Country:US
Mailing Address - Phone:508-528-5392
Mailing Address - Fax:508-541-2420
Practice Address - Street 1:14 PROSPECT ST
Practice Address - Street 2:HILL HEALTH BUILDING
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3003
Practice Address - Country:US
Practice Address - Phone:508-478-2061
Practice Address - Fax:508-478-7768
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2025-09-11
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Provider Licenses
StateLicense IDTaxonomies
MA75799207RH0000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3138984Medicaid
MA3138984Medicaid
G03929Medicare UPIN