Individual
GEORGE COASTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 DILLION CT, NORTH BRUNSWICK, NJ 08902-5503
(614) 264-0873
Mailing address
118 DILLION CT, NORTH BRUNSWICK, NJ 08902-5503
(614) 264-0873
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/27/2016
Last updated
03/27/2016
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