Search › Virginia › 207N00000X
Jack Costa, M.D
NPI 1144393935 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3650 Joseph Siewick Dr
Suite 202
Fairfax, VA 22033 - Phone
- (703) 391-2516
- Fax
- (703) 476-8244
- Organisation at this address
- Fairfax Eye Center, Pc
Inova Fairfax Hospital
Fairfax Lung Center Pc
Siavash Sobhani M.D. P.C.
Jack M. Costa, M.D., P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 174
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia