person
Marc Lance Costa, MD
Surgery Physician in Bridgeport, West Virginia
NPI 1184655482

Marc Lance Costa is a Surgery Physician based in Bridgeport, WV. Marc Lance Costa practices in Bridgeport, WV and has the professional credentials of MD. The NPI Number for Marc Lance Costa is 1184655482 and holds a License No. MD060675L (West Virginia).

The current practice location address for Marc Lance Costa is 527 Medical Park Dr, Bridgeport, WV and can be reached out via phone at 304-933-3850 and via fax at 304-933-3859. You can also correspond with Marc Lance Costa through the mailing address at 527 MEDICAL PARK DR, BRIDGEPORT, WV - 26330-9008 (mailing address contact number: 304-933-3850).

Location: 527 Medical Park Dr, Bridgeport, WV, 26330-9008
person
Provider Profile Details
NPI Number
1184655482
Provider Name
Marc Lance Costa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
527 Medical Park Dr, Bridgeport, WV, 26330-9008
Phone Number
304-933-3850
Fax Number
304-933-3859
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000140320 01 PA UNISON THREE RIVERS
048032003 01 PA CIGNA
G78377 01 PA HEALTH AMERICA
G78377 01 PA HEALTH ASSURANCE
1461312 01 PA BLUE CROSS BLUE SHIELD
1531290 01 PA GATEWAY
0019436000001 05 PA
3133024 01 PA AETNA
G78377 01 PA ADVANTRA MEDICARE
319922 01 PA UPMC MEDICARE
institution
Provider Business Practice Location Address Details
Address
527 Medical Park Dr
City
State
Zip
26330-9008
Phone Number
304-933-3850
Fax Number
304-933-3859
person
Provider Business Mailing Address Details
Address
527 Medical Park Dr
City
State
Zip
26330-9008
Phone Number
304-933-3850
Fax Number
304-933-3859
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
19442 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
License No.
MD060675L (Pennsylvania)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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