Individual
KAREN ANN COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 N BROAD STREET EXT, GROVE CITY, PA 16127-4603
(724) 450-7246
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 330-5851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS017038
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102980620
—
PA
Enumeration date
04/05/2011
Last updated
09/01/2020
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