Organization
COSTA MEDICAL
Active
Other names
Abdominal Devices
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE MARIE PODOLSKI (FOUNDER/CEO)
(609) 558-4254
Entity
Organization
Contact information
Practice address
32 NASSAU ST, SUITE 300, PRINCETON, NJ 08542-4503
(609) 558-4254
(609) 921-8651
Mailing address
32 NASSAU ST, SUITE 300, PRINCETON, NJ 08542-4503
(609) 558-4254
(609) 921-8651
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0400359534
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QDTJG2TY5
ACCREDITATION AWARD
—
Enumeration date
03/14/2013
Last updated
06/03/2013
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