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Contact Information

JASON COSTA, MD
111 OSBORNE ST
DANBURY, CT06810-6000
 Phone: 203-739-7155
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JASON COSTA · (Male)

NPI Number 1588007645
Status Active
Credentials MD
Entity Individual
Enumeration date 04/09/2013
Last updated 08/16/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 72274
Hospital affiliation(s)
  • FAXTON-ST LUKE'S HEALTHCARE - (Acute Care)
    1656 CHAMPLIN AVENUE
    UTICA, NY 13503
  • ROME MEMORIAL HOSPITAL INC - (Acute Care)
    1500 NORTH JAMES STREET
    ROME, NY 13440
  • ST ELIZABETH MEDICAL CENTER - (Acute Care)
    2209 GENESEE STREET
    UTICA, NY 13501
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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