Alfonso Acosta MD PC

NPI #1184881971 in W Bloomfield, Michigan

Provider Information

NPI Number: 1184881971
Entity Type: Organization
Organization Name: Alfonso Acosta MD PC
Primary Specialty: General Practice
Enumeration Date: May 20, 2008
Last Updated: May 20, 2008

Practice Location

Address: 7173 ILANAWAY DR
City: W Bloomfield
State: Michigan
ZIP Code: 48324-2493
Phone: (586) 929-0842

Authorized Official

Name: DR. ALFONSO ACOSTA, MD
Title: PRESIDENT
Phone: (586) 929-0842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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