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NPI Code Detail

MEDICARE: PHILLIP COSTA DO

MEDICARE:   PHILLIP  COSTA  DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1912849522
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP COSTA DO
Provider Business Mailing Address
First Line : 100 OXFORD DR APT 319
Second Line :
City : MONROEVILLE
State : PA
Zip : 15146-2322
Country : US
Telephone Number : 412-657-3862
Fax Number :
Provider Business Practice Location Address
First Line : 725 NORTH ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-4124
Country : US
Telephone Number : 413-447-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ PHILLIP COSTA DO” Practice Location

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