Organization
WINSLOW FAMILY PHYSICIANS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C COSTA D.O. (PRESIDENT)
(856) 767-8228
Entity
Organization
Contact information
Practice address
339 N ROUTE 73, SUITE 1, BERLIN, NJ 08009-9707
(856) 767-8228
(856) 753-7826
Mailing address
339 N ROUTE 73, SUITE 1, BERLIN, NJ 08009-9707
(856) 767-8228
(856) 753-7826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7545908
—
NJ
Enumeration date
08/21/2006
Last updated
08/22/2020
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