Costacurta, Gary
Costacurta, Gary is an individual health care provider with primary practice located at 2001 Fairview Ave , Easton PA 18042-3915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Costacurta, Gary can be contacted via phone (610) 442-2082.Contact Information
Primary practice address
2001 Fairview Ave
Easton PA 18042-3915
Phone: (610) 442-2082
Fax: (610) 438-2419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MA054780 | New Jersey |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD034283-E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MA054780 | New Jersey |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD034283-E | Pennsylvania |
Profile Details
| NPI number | 1679575856 |
|---|---|
| LBN Legal business name | Costacurta, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Apr 15th, 2019 - about 6 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 | 1679575856 | NPPES |
| New Jersey | MEDICAID | 5089603 | |
| New Jersey | Other | 597435 | |
| New Jersey | MEDICAID | 1198810 | |
| New Jersey | Other | 1387642 | |
| New Jersey | Other | P713649 | |
| New Jersey | Other | 485897 | |
| New Jersey | Other | 20008705 | |
| New Jersey | Other | 4005656 | |
| New Jersey | Other | 1951701 | |
| New Jersey | Other | 597435 |
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