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Ralph Floyd Costa

Family Medicine

Allopathic & Osteopathic Physicians

2301 E Evesham Rd Ste 407, Voorhees, NJ 08043-4505

PECOS Enrollment

This provider is enrolled in PECOS as RALPH COSTA.

Based on the most recent information from CMS, provider Ralph Floyd Costa is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1740217652
Provider Type
Individual
Full Name
Costa, Ralph Floyd
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/27/2006
Last Updated
2/5/2024

Contact Information

Practice Location

2301 E Evesham Rd Ste 407, Voorhees, NJ 08043-4505

(856) 816-8317

(661) 413-1142

Mailing Location

2301 E Evesham Rd Ste 407, Voorhees, NJ 08043-4505

(856) 816-8317

(661) 413-1142

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License MA50226 New Jersey

Provider Identifiers

ID	Description	Issuer
ID 6359507	Description Medicaid	Issuer Unlisted New Jersey

Ralph Floyd Costa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Family Practice Associates Of Voorhees, Pa

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