Individual
JOHN M F COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42 LANDS END WAY, SWANSEA, MA 02777-2910
(508) 674-3434
Mailing address
42 LANDS END WAY, SWANSEA, MA 02777-2910
(508) 674-3434
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
35165
MA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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