DR. Jenna Marie Dacosta, DO is a student in an organized health care education training program in Newark, NJ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jenna Marie Dacosta, DO NPI is 1578138442. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
111 CENTRAL AVE
MEDICAL EDUCATION DEPT FLOOR D7
NEWARK, NJ
ZIP 07102
Phone: (973) 877-5465
The enumeration date for this NPI number is 5/24/2021 and was last updated on 5/24/2021.