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Individual
DR. JOHN J. COSTA
Active
Individual
DR. JOHN J. COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
00000
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013922
NHP
—
01
—
056754
TUFTS HEALTH CARE
—
01
—
1243
HARVARD PILGRIM
—
05
—
3118258
—
MA
01
—
39485
FALLON
—
01
—
B20273502
CIGNA
—
01
—
J13636
MEDICARE
—
Enumeration date
07/20/2005
Last updated
06/30/2015
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