Individual
JOSEPH M COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 TAVISTOCK BLVD, HADDONFIELD, NJ 08033-3960
(908) 692-9604
Mailing address
331 TAVISTOCK BLVD, HADDONFIELD, NJ 08033-3960
(908) 692-9604
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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