Costa, Marco A

Costa, Marco A is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Costa, Marco A can be contacted via phone (216) 844-3800.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MFC1413 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 81-000076 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 81-000083 Ohio

Profile Details

NPI number 1316914047
LBN Legal business name Costa, Marco A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Apr 30th, 2009 - about 15 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 1316914047 NPPES
Ohio Other 000000539190 ANTHEM
Ohio MEDICAID 000916022A ANTHEM
Ohio Other 7378305 ANTHEM
Ohio Other 060068212 ANTHEM
Ohio Other P00454327 ANTHEM
Ohio MEDICAID 2621908-00 ANTHEM
Ohio Other 414956 ANTHEM
Ohio Other 000000225199 ANTHEM
Ohio MEDICAID 2770774 ANTHEM
Ohio Other 751122 ANTHEM

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