Organization
ACOSTA, PC
Active
Other names
Noble House Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ELBERT R ACOSTA II MD (OWNER/DIRECTOR)
(724) 658-3020
Entity
Organization
Contact information
Practice address
3128 WILMINGTON RD, NEW CASTLE, PA 16105-1132
(724) 658-3020
(724) 658-6094
Mailing address
3128 WILMINGTON RD, NEW CASTLE, PA 16105-1132
(724) 658-3020
(724) 658-6094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
789831
BS
—
01
—
CB4860
RAILROAD
—
Enumeration date
07/11/2005
Last updated
07/21/2022
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