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Organization
PERSONALIZED PRIMARY CARE CENTER, LLC
Active
Organization
PERSONALIZED PRIMARY CARE CENTER, LLC
Active
Other names
Ralph F. Costa, MD
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH F. COSTA MD (PHYSICIAN)
(856) 685-7285
Entity
Organization
Contact information
Practice address
2301 E EVESHAM RD, SUITE 407, VOORHEES, NJ 08043-4501
(856) 685-7285
(856) 685-7675
Mailing address
2301 E EVESHAM RD, SUITE 407, VOORHEES, NJ 08043-4501
(856) 685-7285
(856) 685-7675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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