Organization
PERSONALIZED PRIMARY CARE CENTER, LLC
Active
Other names
Ralph F. Costa, MD
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH F. COSTA MD (PHYSICIAN)
(856) 685-7285
Entity
Organization
Contact information
Practice address
2301 E EVESHAM RD, SUITE 407, VOORHEES, NJ 08043-4501
(856) 685-7285
(856) 685-7675
Mailing address
2301 E EVESHAM RD, SUITE 407, VOORHEES, NJ 08043-4501
(856) 685-7285
(856) 685-7675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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