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Individual
CHRISTOPHER R COSTA
Active
Individual
CHRISTOPHER R COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
241160
MA
208600000X
Surgery Physician
D71549
MD
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
17614
NV
390200000X
Student in an Organized Health Care Education/Training Program
BP10044391
TX
Other
Enumeration date
06/19/2009
Last updated
07/02/2018
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