Individual
DR. SANDRA R COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
701 N DUPONT BLVD, MILFORD, DE 19963-1003
(302) 725-3420
(302) 725-3430
Mailing address
3 WALNUT ST, SUITE 205, LEMOYNE, PA 17043
(717) 909-0520
(717) 909-4676
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS012622
PA
207Q00000X
Family Medicine Physician
Primary
C2-0011328
DE
207Q00000X
Family Medicine Physician
OS012622
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001761779
HIGHMARK BLUE CROSS
PA
05
—
1013844070002
—
PA
05
—
1013844070003
—
PA
01
—
1554362
GATEWAY
PA
01
—
168328
UNISON
PA
01
—
20046851
AMERIHEATLH
PA
01
—
50055274
CAPITAL BLUE CROSS
PA
01
—
95094
GEISINGER
PA
Enumeration date
03/31/2006
Last updated
07/23/2025
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