Costa, Jose
Costa, Jose is an individual health care provider with primary practice located at 310 Cedar St Lauder Hall Room 108, New Haven CT 06510-3218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Costa, Jose can be contacted via phone (203) 785-2788.Contact Information
Primary practice address
310 Cedar St Lauder Hall Room 108
New Haven CT 06510-3218
Phone: (203) 785-2788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 032845 | Connecticut |
Profile Details
| NPI number | 1083603617 |
|---|---|
| LBN Legal business name | Costa, Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jun 26th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083603617 | NPPES |
| Connecticut | MEDICAID | 001328451 |
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