Individual
DR. ANTHONY JOSEPH COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4209 STATE ROUTE 44, NEOUCOM, ROOTSTOWN, OH 44272
(330) 325-6767
(330) 325-5903
Mailing address
3193 PIMLICO BLVD, STOW, OH 44224
(330) 686-1307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35039375
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
1561808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0320305
—
OH
Enumeration date
10/24/2006
Last updated
09/11/2025
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