Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DS024618L | PA |
NPI | 1124162375 |
---|---|
Provider Name | Dr. Andrew Joseph Coste |
First Address | Swarthmore, PA 19081-1713 |
Second Address | Swarthmore, PA 19081-1713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2007 |
Last Update Date | 08/07/2007 |