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Individual
DR. SANDRA R COSTA
Active
Individual
DR. SANDRA R COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS012622
PA
207Q00000X
Family Medicine Physician
Primary
C2-0011328
DE
207Q00000X
Family Medicine Physician
OS012622
PA
Other
Enumeration date
03/31/2006
Last updated
07/23/2025
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