JACK M. COSTA, M.D., P.C.

FAIRFAX, VA
NPI1972808335
Entity TypeOrganization
Authorized ContactJACK M. COSTA
Owner
703-391-2516
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: VA  0101028288)
Enumeration Date2011-01-17
Last Update Date2011-01-17
Business Address
JACK M. COSTA, M.D., P.C.
3650 JOSEPH SIEWICK DR SUITE 202
FAIRFAX, VA 22033-1710
Phone number: 703-391-2516
Mailing Address
JACK M. COSTA, M.D., P.C.
3650 JOSEPH SIEWICK DR SUITE 202
FAIRFAX, VA 22033-1710
Phone number: 703-391-2516
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