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1578138442
JENNA MARIE DACOSTA
NEWARK, NJ
NPI
1578138442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
Dr. JENNA MARIE DACOSTA DO
111 CENTRAL AVE MEDICAL EDUCATION DEPT FLOOR D7
NEWARK, NJ 07102
Phone number: 973-877-5465
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Mailing Address
Dr. JENNA MARIE DACOSTA DO
22 CHESTNUT ST
LIVINGSTON, NJ 07039-5502
Phone number: 973-699-6367
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