Individual
DR. ANTOINETTE GERALDINE COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
(973) 395-7010
Mailing address
181 MCMANE AVE, BERKELEY HEIGHTS, NJ 07922-2202
(908) 665-2087
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25 MA 04272000
NJ
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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