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MR. GERARDO ACOSTA AGACNP-BC
Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1821607243
Individual Registrant:MR. GERARDO ACOSTA AGACNP-BC
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
100 GRAND ST FL 1 NEW BRITAIN, CT 06052-2016 US
Tel: 860-224-5011 Fax: --
Tel: 860-224-5011 Fax: --
Contact information for business:
509 WASHIGNTON AVE RIDGEFIELD, NJ 07657 US
Tel: 201-887-5507 Fax: --
Tel: 201-887-5507 Fax: --
Registration Information:
NPI: 1821607243
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Acute Care | CT | 9192 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
