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Find providers by NPI
Individual

LOUIS E COSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C20010788
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102197454 0003
PA
01
C2-0010788
MEDICAL LICENSE
DE
01
OS012657
MEDICAL LICENSE
PA
Enumeration date
04/03/2007
Last updated
09/29/2021
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