Active NPIIndividual provider

Richard C Costa, DO

Family Medicine in Berlin, New Jersey

NPI Number1982693511
Practice location
339 N Route 73, Suite 1, Berlin, NJ 08009-9707
Fax
856-753-7836
Last updated
December 19, 2013

Richard C Costa is a Family Medicine based in Berlin, NJ. Richard C Costa practices in Berlin, NJ and has the professional credentials of DO. The NPI Number for Richard C Costa is 1982693511 and holds a License No. MB48420 (NJ). The current practice location address for Richard C Costa is 339 N Route 73, Suite 1, Berlin, NJ 08009-9707 and can be reached out via phone at 856-767-8228 and via fax at 856-753-7836.

Provider Profile Details

NPI Number
1982693511
Provider Name
Richard C Costa
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
339 N Route 73, Suite 1, Berlin, NJ 08009-9707
Phone Number
856-767-8228
Fax Number
856-753-7836
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2005
Last Update Date
December 19, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
339 N Route 73
Suite 1
Berlin, NJ 08009-9707
City
Berlin
Zip
08009-9707
Phone Number
856-767-8228
Fax Number
856-753-7836
Berlin, NJ 08009Get directions →

Provider Business Mailing Address Details

Address
40 Lake Ctr
401 Route 73 North Suite 201A
Marlton, NJ 08053-3425
City
Marlton
State
NJ
Zip
08053-3425
Phone Number
856-355-0340
Fax Number
856-355-0346

License Information

License Number
MB48420
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Richard C Costa, DO?

The NPI number of Richard C Costa, DO is 1982693511. It was assigned on October 17, 2005 and is currently active in the NPPES registry.

What is the specialty of Richard C Costa, DO?

Richard C Costa, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number MB48420.

Where does Richard C Costa, DO practice?

The practice location is 339 N Route 73, Suite 1, Berlin, NJ 08009-9707. The office can be reached at 856-767-8228 (phone) or 856-753-7836 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982693511 directly on the NPPES registry website.

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