Costa, Anthony Joseph

Costa, Anthony Joseph is an individual health care provider with primary practice located at 4209 State Route 44 Neoucom, Rootstown OH 44272. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Costa, Anthony Joseph can be contacted via phone (330) 325-6767.

Contact Information

Primary practice address
4209 State Route 44 Neoucom Rootstown OH 44272
Phone: (330) 325-6767
Fax: (330) 325-5903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35039375 Ohio
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 1561808 Florida

Profile Details

NPI number 1093899254
LBN Legal business name Costa, Anthony Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093899254 NPPES
Ohio MEDICAID 0320305

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