JACK M. COSTA, M.D., P.C. is a specialist in Fairfax, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JACK M. COSTA, M.D., P.C. NPI is 1972808335. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3650 JOSEPH SIEWICK DR
SUITE 202
FAIRFAX, VA
ZIP 22033-710
Phone: (703) 391-2516
Fax: (703) 476-8244
The provider's authorized official is Jack M. Costa .
The authorized official title is Owner and has the following contact phone number (703) 391-2516.
The enumeration date for this NPI number is 1/17/2011 and was last updated on 1/17/2011.