Individual
KATRINA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
243 ELM ST, RADIOLOGY DEPARTMENT, CLAREMONT, NH 03743-4921
(603) 543-3409
(503) 543-8981
Mailing address
243 ELM ST, RADIOLOGY DEPARTMENT, CLAREMONT, NH 03743-4921
(603) 543-3409
(503) 543-8981
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
042-0011537
VT
2085R0202X
Diagnostic Radiology Physician
Primary
13891
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30207693
—
NH
05
—
36106241
—
IL
Enumeration date
12/30/2005
Last updated
02/25/2010
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