JUSTIN COSTA

FREDERICK, MD
NPI1700114378
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MD  H0082753)
Additional Taxonomies208000000X Pediatrics
(Licence: VA  0102202786)
Enumeration Date2009-11-19
Last Update Date2021-07-30
Business Address
Dr. JUSTIN COSTA D.O.
1475 TANEY AVE STE 201
FREDERICK, MD 21702-5126
Phone number: 301-662-0133
Mailing Address
Dr. JUSTIN COSTA D.O.
1475 TANEY AVE STE 201
FREDERICK, MD 21702-5126
Phone number: 301-662-0133