Vaneska Bottino Da Costa, M.D. Valid NPI
Individual provider · Pediatric Critical Care Medicine Physician · Fort Wayne, IN
- NPI
- 1003292525
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Critical Care Medicine Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2080P0203X
- License number
- T1020 (TX)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2015-08-06
- Last updated
- 2023-11-13
Practice location
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
(260) 435-7001