Individual
DR. GERMAN H COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3196 KENNEDY BLVD, 2ND FLOOR, UNION CITY, NJ 07087-2436
(201) 795-9080
(201) 795-9434
Mailing address
3196 KENNEDY BLVD, MAILBOX 16A, UNION CITY, NJ 07087-2436
(201) 795-9080
(201) 795-9434
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA07273600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3007104
AETNA
—
01
—
5538H
EMPIRE
—
01
—
6718749
CIGNA
—
05
—
9048901
—
NJ
01
—
P3453578
OXFORD
—
Enumeration date
10/26/2006
Last updated
01/04/2012
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