Constancio Acosta MD

NPI 1063594018 - Pediatrics - 208000000X

NPI Details
NPI 1063594018
Gender Male
Enumeration Date 10/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8500 BROADWAY
SUITE E
MERRILLVILLE IN, 46410, US
Phone (219) 736-9580
Fax (219) 736-9581
Business Location
8500 BROADWAY
SUITE E
MERRILLVILLE IN, 46410, US
Phone (219) 736-9580
Fax (219) 736-9581
Toxanomy
Taxonomy Code 208000000X
License State Indiana
License Number 01025495
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According to our database, Constancio Acosta MD NPI is 1063594018, taxonomy code is 208000000X and license number is 01025495, license state is located at Indiana. Constancio Acosta MD physically located at 8500 Broadway, Merrillville IN, 46410. NPI Number Constancio Acosta MD has the Individual type.

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1063594018 NPI number is provided on an as is basis without warranty of any kind. 1063594018 is maintained by the National Plan & Provider Enumeration System. The contents of Constancio Acosta MD are for informational purposes only.