Individual
DR. MARCO A COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-3800
Mailing address
3605 WARRENSVILLE CENTER RD, 1ST FLOOR, SHAKER HEIGHTS, OH 44122-5203
(216) 286-6295
(216) 286-6341
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
81-000076
OH
207RC0000X
Cardiovascular Disease Physician
Primary
81-000083
OH
207RC0000X
Cardiovascular Disease Physician
MFC1413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225199
UNISON
OH
01
—
000000539190
ANTHEM
OH
05
—
000916022A
—
GA
01
—
060068212
RAILROAD MEDICARE
FL
05
—
2621908-00
—
FL
05
—
2770774
—
OH
01
—
414956
WELLCARE
OH
01
—
7378305
AETNA
OH
01
—
751122
BUCKEYE
OH
01
—
P00454327
RAILROAD MEDICARE
OH
Enumeration date
03/01/2006
Last updated
04/30/2009
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