Dr Daniel Pereira Costa, MD | |
Advocare Delgiorno Pediatric & Adult Medicine, 535 S. Black Horse Pike, Blackwood, NJ 08012-2868 | |
(856) 228-1061 | |
(856) 228-1907 |
Full Name | Dr Daniel Pereira Costa |
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Gender | Male |
Speciality | Pediatrics |
Location | Advocare Delgiorno Pediatric & Adult Medicine, Blackwood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518346063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MT208886 (Pennsylvania) | Secondary |
208000000X | Pediatrics | 25MA10289200 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
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Dr Daniel Pereira Costa, MD St. Christopher's Hospital For Children, 160 E. Erie Ave, Philadelphia, PA 19134 Ph: (215) 427-5000 | Dr Daniel Pereira Costa, MD Advocare Delgiorno Pediatric & Adult Medicine, 535 S. Black Horse Pike, Blackwood, NJ 08012-2868 Ph: (856) 228-1061 |
Dr. Joseph J Delgiorno, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 527 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061 Fax: 856-228-1907 | |
Christine Ferandos Petrozzino, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 535 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061 Fax: 856-228-1907 | |
Dr. Harold Vincent Salvati, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 527 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061 Fax: 856-228-1907 | |
John Michael Delgiorno, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 535 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061 | |
Dr. Audrey Jane Iacobucci, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 527 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061 Fax: 856-228-1907 | |
Brittany Rose Owens, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 535 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061 Fax: 856-228-1907 |