PETER ANTHONY COSTA

WINSTON SALEM, NC
NPI1629411855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0206X Pediatrics Pediatric Gastroenterology
(Licence: NC  2019-00398)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-04-08
Last Update Date2021-04-13
Business Address
PETER ANTHONY COSTA MD
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-2403
Phone number: 336-713-4500
Mailing Address
PETER ANTHONY COSTA MD
5 BEAVER POND CT
STONY POINT, NY 10980-3518
Phone number: 845-729-7297