Individual
DIANE COSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 MAIN ST, SUITE 110, MEDFORD, MA 02155-4540
(781) 391-2705
(781) 391-2709
Mailing address
101 MAIN ST, SUITE 110, MEDFORD, MA 02155-4540
(781) 391-2705
(781) 391-2709
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
156393
MA
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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