Individual
SERGIO COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
70 BUBECK CT, IVYLAND, PA 18974-1288
(215) 330-2711
Mailing address
70 BUBECK CT, IVYLAND, PA 18974-1288
(215) 330-2711
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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