MATTHEW LOUIS COSTA

BASKING RIDGE, NJ
NPI1942554555
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01331500)
Enumeration Date2012-11-05
Last Update Date2016-08-05
Business Address
-- MATTHEW LOUIS COSTA PT
180 MOUNT AIRY RD
BASKING RIDGE, NJ 07920-2065
Phone number: 908-766-1407
Mailing Address
-- MATTHEW LOUIS COSTA PT
105 MOUNT AIRY RD
BASKING RIDGE, NJ 07920-2065
Phone number: