Individual
GARY COSTACURTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 FAIRVIEW AVE, EASTON, PA 18042-3915
(610) 442-2082
(610) 438-2419
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(848) 844-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MA054780
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
MD034283-E
PA
207RI0011X
Interventional Cardiology Physician
MA054780
NJ
207RI0011X
Interventional Cardiology Physician
MD034283-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1198810
—
PA
01
—
1387642
HIGHMARK NJ
NJ
01
—
1951701
CAPITAL BLUE CROSS
PA
01
—
20008705
AMERIHEALTH MERCY MA
PA
01
—
4005656
CIGNA PA
PA
01
—
485897
AETNA US HEALTHCARE
PA
05
—
5089603
—
NJ
01
—
597435
KEYSTONE CAPITAL
PA
01
—
P713649
OXFORD
PA
Enumeration date
06/01/2005
Last updated
04/15/2019
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