Individual
MS. SUSAN D COSTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
850 WALNUT BOTTOM RD, BELVEDERE MEDICAL CORPORATION, CARLISLE, PA 17013-3698
(717) 243-2244
(717) 243-4618
Mailing address
850 WALNUT BOTTOM RD, BELVEDERE MEDICAL CORPORATION, CARLISLE, PA 17013-3698
(717) 243-2244
(717) 243-4618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN313103L
PA
Other
Enumeration date
12/29/2005
Last updated
07/08/2007
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