| Organization Name: | COSTA MEDICAL |
| NPI Number: | 1225379308 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUZANNE MARIE PODOLSKI (FOUNDER/CEO) |
| Mailing Address: | 32 Nassau St Suite 300 Princeton |
| State: | NJ US |
| Postal Code: | 085424503 |
| Phone Number: | 6095584254 |
| Fax Number: | 6099218651 |
| NPI Enumeration Date: | 03/14/2013 |
| NPI Last Update Date: | 06/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 0400359534 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |