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General NPI Number Information
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NPI Number | 1982677910
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Entity Type | Individual
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Provider Name | ANTHONY JOSEPH COSTA M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 135 RT 35 SUITE 7
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City | EATONTOWN
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State | NJ
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Zip | 07724
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Country | US
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Telephone | 732-440-7322
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Fax | 732-217-2483
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Provider Business Mailing Address
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Address Line | 135 NEW JERSEY 35
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City | EATONTOWN
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State | NJ
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Zip | 07724
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Country | US
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Telephone | 732-440-7322
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Fax | 732-217-2483
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 25MA07826900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25MA07826900
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License Number State | NJ
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