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1124862099
CHRISTOPHER DACOSTA
NEWARK, NJ
NPI
1124862099
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
CHRISTOPHER DACOSTA MD
111 CENTRAL AVE
NEWARK, NJ 07102-1909
Phone number: 973-877-5000
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Mailing Address
CHRISTOPHER DACOSTA MD
111 CENTRAL AVE
NEWARK, NJ 07102-1909
Phone number: 973-945-9846
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