Individual
DANIEL L COSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
880 SR 6W, TUNKHANNOCK, PA 18657
(570) 996-1221
(570) 836-0392
Mailing address
2872 TURNPIKE STREET, SUSQUEHANNA, PA 18847-2771
(570) 853-3135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS004717L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012458590008
—
PA
01
—
411958
HIGHMARK BLUE SHIELD
PA
01
—
826146
FIRST PRIORITY HEALTH
PA
Enumeration date
07/26/2006
Last updated
12/10/2015
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