Individual
DR. DARIA ANN COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER, PATERSON, NJ 07503-2621
(973) 754-2790
(973) 754-2791
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300
(516) 945-3000
(515) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB08909500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265128
—
NJ
01
—
P01413005
RAILROAD MEDICARE
NJ
Enumeration date
02/14/2008
Last updated
09/12/2024
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