Costa, Richard C
Costa, Richard C is an individual health care provider with primary practice located at 339 N Route 73 Suite 1, Berlin NJ 08009-9707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Costa, Richard C can be contacted via phone (856) 767-8228.Contact Information
Primary practice address
339 N Route 73 Suite 1
Berlin NJ 08009-9707
Phone: (856) 767-8228
Fax: (856) 753-7836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MB48420 | New Jersey |
Profile Details
| NPI number | 1982693511 |
|---|---|
| LBN Legal business name | Costa, Richard C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Dec 19th, 2013 - about 11 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 | 1982693511 | NPPES |
| New Jersey | MEDICAID | 2098601 |
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