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Jose R Acosta, MD
Specialist in Lewistown, Pennsylvania
NPI 1831147933

Jose R Acosta is a Specialist based in Lewistown, PA. Jose R Acosta practices in Lewistown, PA and has the professional credentials of MD. The NPI Number for Jose R Acosta is 1831147933 and holds a License No. MD038970L (Pennsylvania).

The current practice location address for Jose R Acosta is 27 Sandy Lane, Lewistown, PA and can be reached out via phone at 717-242-2711 and via fax at 717-248-0502.

Location: 27 Sandy Lane, Lewistown, PA, 17044-1167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831147933
Provider Name
Jose R Acosta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
27 Sandy Lane, Lewistown, PA, 17044-1167
Phone Number
717-242-2711
Fax Number
717-248-0502
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060000161 01 PA RAILROAD MEDICARE
02552500 01 PA CAPITAL BLUE CROSS
076706 01 PA BLUE SHIELD
0008056460001 05 PA
000805646 05 PA
institution
Provider Business Practice Location Address Details
Address
27 Sandy Lane
City
Lewistown
State
Pennsylvania
Zip
17044-1318
Phone Number
717-242-2711
Fax Number
717-248-0502
person
Provider Business Mailing Address Details
Address
27 Sandy Lane
City
Lewistown
State
Pennsylvania
Zip
17044-1318
Phone Number
717-242-2711
Fax Number
717-248-0502
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD038970L (Pennsylvania)
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.
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