Marc Lance Costa, MD

NPI #1184655482 in Bridgeport, West Virginia

Provider Information

NPI Number: 1184655482
Entity Type: Individual
Name: Marc Lance Costa, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jul 5, 2006
Last Updated: Apr 5, 2022

Practice Location

Address: 527 MEDICAL PARK DR
Address 2: SUITE 202
City: Bridgeport
State: West Virginia
ZIP Code: 26330-9008
Phone: (304) 933-3850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Surgery	208600000X	Primary

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