Healthcare Provider Details

I. General information

NPI: 1982602355
Provider Name (Legal Business Name): ACOSTA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3128 WILMINGTON RD
NEW CASTLE PA
16105-1132
US

IV. Provider business mailing address

3128 WILMINGTON RD
NEW CASTLE PA
16105-1132
US

V. Phone/Fax

Practice location:
  • Phone: 724-658-3020
  • Fax: 724-658-6094
Mailing address:
  • Phone: 724-658-3020
  • Fax: 724-658-6094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: ELBERT R ACOSTA II
Title or Position: OWNER/DIRECTOR
Credential: MD
Phone: 724-658-3020