Individual
DR. JOSEPH THOMAS COSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 1E50, NEWARK, DE 19718-1121
(302) 733-1980
(302) 733-1985
Mailing address
1500 MARKET ST, 24TH FLOOR-WEST TOWER, PHILADELPHIA, PA 19102-2100
(215) 255-3828
(215) 255-3577
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C2-0024404
DE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
OS010727L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0780001880
RR MEDICARE
—
01
—
1000358600
AMERICHOICE
NJ
05
—
102566398
—
PA
01
—
1134236
HORIZON NJ HEALTH
NJ
01
—
1K6469
HEALTHNET
NJ
01
—
2049399
UNITED HEALTHCARE
NJ
01
—
2337132
AETNA
NJ
01
—
29209
UNIVERSITY HEALTH PLAN
NJ
05
—
6721303
—
NJ
01
—
793392000
AMERIHEALTH
NJ
01
—
83491
AMERIGROUP
NJ
01
—
939698
INDEPENDENT BCBS
NJ
01
—
P390898
OXFORD
NJ
Enumeration date
05/10/2006
Last updated
04/29/2024
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