Organization
RAMON ACOSTA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMON ACOSTA M.D. (PRESIDENT)
(856) 756-0010
Entity
Organization
Contact information
Practice address
2 LEONARD AVE, CAMDEN, NJ 08105-2404
(856) 756-0010
(856) 756-0011
Mailing address
2 LEONARD AVE, CAMDEN, NJ 08105-2404
(856) 756-0010
(856) 756-0011
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA05116600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4009908
—
NJ
Enumeration date
09/13/2011
Last updated
09/13/2011
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