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Individual

CHRISTOPHER COSTA

Active
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Individual

CHRISTOPHER COSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2004-01191
NC
207R00000X
Internal Medicine Physician
27672
SC
208M00000X
Hospitalist Physician
Primary
D075058
MD

Other

Enumeration date
02/08/2006
Last updated
06/16/2017
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