Jennifer M Costa PA-C

NPI 1356422182 - Physician Assistant - 363AM0700X

NPI Details
NPI 1356422182
Gender Female
Enumeration Date 10/18/2006
Last Updated 02/15/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
2325 MARYLAND RD
WILLOW GROVE PA, 19090-1749, US
Phone (215) 657-9393
Fax (215) 657-9398
Business Location
2325 MARYLAND RD
WILLOW GROVE PA, 19090-1749, US
Phone (215) 657-9393
Fax (215) 657-9398
Toxanomy
Taxonomy Code 363AM0700X
License State New Jersey
License Number 25MP00164600
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According to our database, Miss Jennifer M Costa PA-C NPI is 1356422182, taxonomy code is 363AM0700X and license number is 25MP00164600, license state is located at New Jersey. Jennifer M Costa PA-C physically located at 2325 Maryland Rd, Willow Grove PA, 19090-1749. NPI Number Jennifer M Costa PA-C has the Individual type.

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1356422182 NPI number is provided on an as is basis without warranty of any kind. 1356422182 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer M Costa PA-C are for informational purposes only.