Individual
DR. PHILIP ANTHONY COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15 GREENBROOK RD, GREEN BROOK, NJ 08812-2629
(732) 968-1111
(732) 968-2055
Mailing address
15 GREENBROOK RD, P.O.BOX 972, GREEN BROOK, NJ 08812-2629
(732) 968-1111
(732) 968-2055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00584900
NJ
Other
Enumeration date
04/18/2007
Last updated
11/15/2007
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