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1942554555
MATTHEW LOUIS COSTA
BASKING RIDGE, NJ
NPI
1942554555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01331500)
Enumeration Date
2012-11-05
Last Update Date
2016-08-05
Business Address
-- MATTHEW LOUIS COSTA PT
180 MOUNT AIRY RD
BASKING RIDGE, NJ 07920-2065
Phone number: 908-766-1407
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Mailing Address
-- MATTHEW LOUIS COSTA PT
105 MOUNT AIRY RD
BASKING RIDGE, NJ 07920-2065
Phone number:
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