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1083603617
JOSE COSTA
NEW HAVEN, CT
NPI
1083603617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: CT 032845)
Enumeration Date
2005-10-17
Last Update Date
2008-06-26
Business Address
-- JOSE COSTA MD
310 CEDAR ST LAUDER HALL ROOM 108
NEW HAVEN, CT 06510-3218
Phone number: 203-785-2788
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Mailing Address
-- JOSE COSTA MD
PO BOX 9805 300 GEORGE ST, 6TH FLOOR
NEW HAVEN, CT 06536-0805
Phone number:
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