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General NPI Number Information
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NPI Number | 1740217652
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Entity Type | Individual
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Provider Name | RALPH FLOYD COSTA MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 2301 E EVESHAM RD STE 407
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City | VOORHEES
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State | NJ
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Zip | 08043-4505
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Country | US
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Telephone | 856-816-8317
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Fax | 661-413-1142
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Provider Business Mailing Address
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Address Line | 2301 E EVESHAM RD STE 407
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City | VOORHEES
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State | NJ
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Zip | 08043-4505
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Country | US
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Telephone | 856-816-8317
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Fax | 661-413-1142
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA05022600
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License Number State | NJ
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