MEDICARE: ELBERT ACOSTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD034874E	PA

General Provider Information

NPI Number	:	1184620320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELBERT ACOSTA

Provider Business Mailing Address
First Line	:	3128 WILMINGTON RD
Second Line	:	SUITE 401
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1132
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3128 WILMINGTON RD
Second Line	:	SUITE 401
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1132
Country	:	US
Telephone Number	:	724-658-3020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	03/25/2021

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Directions to “ ELBERT ACOSTA ” Practice Location

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