Individual
CRAIG COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
100 MORRIS AVE STE 304, SPRINGFIELD, NJ 07081-1427
(973) 258-0111
(973) 258-0122
Mailing address
100 MORRIS AVE STE 304, SPRINGFIELD, NJ 07081-1427
(973) 258-0111
(973) 258-0122
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00331500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2014
Last updated
02/06/2017
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