Individual
GERALD V COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 SUGARWOOD WAY, WARREN, NJ 07059-6792
(908) 607-0030
Mailing address
16 SUGARWOOD WAY, WARREN, NJ 07059-6792
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
MA50327
NJ
Other
Enumeration date
01/28/2009
Last updated
01/28/2009
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