(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003292525
Provider Name: VANESKA BOTTINO DA COSTA M.D.
Entity Type: Individual
Taxonomy Code: 208000000X
Specialty: Pediatrics
License Number: 01091713A
Most Important Dates
Enumeration Date: 08/06/2015
Last Updated: 11/13/2023
Provider Practice Location
7950 W JEFFERSON BLVD
FORT WAYNE
IN
468044140
Practice Location Phone/Fax
Phone: 2604357001
Fax: 2604359763
Provider Mailing Location
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE
IN
468047934
Provider Mailing Phone/Fax
Phone: 2604793516
Fax: 2604793520
Suggested EMR
Pediatrics EMR