IndividualActive
Peter Costa, MD
NPI 1629411855 · Pediatric Gastroenterology Physician · Winston Salem, NC
Provider details
- NPI number
- 1629411855
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
Medical Center Blvd
Winston Salem, NC 27157-2403
Phone: (336) 713-4500
Fax: (336) 713-4501
Approximate (ZIP-level) locationGet directions
Mailing address
5 Beaver Pond Ct
Stony Point, NY 10980-3518
Additional practice locations (1)
- 3415 Bainbridge Ave # Wayne7Bronx, NY 10467-2403Phone: (718) 741-2332
Registry dates
- Enumerated
- 2013-04-08
- Last updated
- 2021-04-13
- Certified
- 2021-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.