Individual
DR. JOHN J. COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 COHASSET AVE, UNIT #2, BUZZARDS BAY, MA 02532-3270
(508) 759-7555
(508) 759-7355
Mailing address
33 COHASSET AVE, UNIT #2, BUZZARDS BAY, MA 02532-3270
(508) 759-7555
(508) 759-7355
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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