Organization
MIDSTATE INSTITUTE OF SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS E COSTA DO (OWNER)
(717) 718-7707
Entity
Organization
Contact information
Practice address
1796 3RD AVE, YORK, PA 17403-1913
(717) 718-7707
(717) 718-7708
Mailing address
601 E SIMPSON ST, MECHANICSBURG, PA 17055-3456
(717) 691-7100
(717) 691-6855
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679694723
INDIVIDUAL NPI
—
Enumeration date
07/03/2008
Last updated
07/03/2008
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