Jack M. Costa, MD, PC
Jack M. Costa, MD, PC is a Specialist in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2011.
- Licensed in
- VA
- In the registry since
- 2011
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3650 Joseph Siewick Dr Ste 202Fairfax, VA 22033-1710
Phone: (703) 391-2516
Fax: (703) 476-8244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 0101028288 (VA) |
|---|
Record details
| NPI number | 1972808335 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Costa — Owner · (703) 391-2516 |
| NPI enumerated | January 17, 2011 |
| Last updated in NPPES | January 17, 2011 |
| Mailing address | 3650 Joseph Siewick Dr, Suite 202, Fairfax, VA 22033-1710 |
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Dr. Marietta F Grundlehner, MD
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