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Individual
DANIEL L COSTER
Active
Individual
DANIEL L COSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS004717L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012458590008
—
PA
01
—
411958
HIGHMARK BLUE SHIELD
PA
01
—
826146
FIRST PRIORITY HEALTH
PA
Enumeration date
07/26/2006
Last updated
12/10/2015
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