Organization
REGIS F ACOSTA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGIS F ACOSTA MD (OWNER)
(856) 885-4529
Entity
Organization
Contact information
Practice address
104 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1039
(856) 885-4529
Mailing address
104 INDEPENDENCE BLVD, SICKLERVILLE, NJ 08081-1039
(856) 885-4529
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
25MA0732300
NJ
Other
Enumeration date
08/27/2010
Last updated
04/13/2026
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