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1982693511
RICHARD C COSTA
BERLIN, NJ
NPI
1982693511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ MB48420)
Enumeration Date
2005-10-17
Last Update Date
2013-12-19
Business Address
-- RICHARD C COSTA D.O.
339 N ROUTE 73 SUITE 1
BERLIN, NJ 08009-9707
Phone number: 856-767-8228
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Mailing Address
-- RICHARD C COSTA D.O.
40 LAKE CTR 401 ROUTE 73 NORTH SUITE 201A
MARLTON, NJ 08053-3425
Phone number: 856-355-0340
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