Individual
DR. JOSEPH A COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
208 MILL RD, FAIRHAVEN, MA 02719-5208
(508) 758-3781
(508) 758-4455
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45334
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110040426A
—
MA
Enumeration date
10/04/2005
Last updated
04/21/2020
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