Individual
JASON COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 OSBORNE ST, DANBURY, CT 06810-6000
(203) 739-7155
Mailing address
111 OSBORNE ST, DANBURY, CT 06810-6000
(203) 739-7155
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
72274
CT
Other
Enumeration date
04/09/2013
Last updated
08/16/2022
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