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1568439123
CHRISTOPHER J COSTA
SCRANTON, PA
NPI
1568439123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA001311L)
Enumeration Date
2006-03-02
Last Update Date
2007-07-08
Business Address
-- CHRISTOPHER J COSTA PA
1800 MULBERRY ST
SCRANTON, PA 18510-2369
Phone number: 570-969-8000
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Mailing Address
-- CHRISTOPHER J COSTA PA
17 OAKWOOD DR
WILKES BARRE, PA 18702-7316
Phone number: 570-654-2916
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