Individual
DR. JOSE C COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
465 CRANBURY RD, SUITE 102, EAST BRUNSWICK, NJ 08816-7600
(732) 390-1995
(732) 254-4610
Mailing address
76 INDEPENDENCE DR, EAST BRUNSWICK, NJ 08816-3227
(732) 609-3041
(732) 254-4610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08477200
NJ
207RG0100X
Gastroenterology Physician
Primary
25MA08477200
NJ
Other
Enumeration date
11/20/2007
Last updated
09/23/2015
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