Individual
ANITA L KOSTECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, DOWLING 5TH FL, BOSTON, MA 02118-2908
(617) 414-4465
(617) 414-3345
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 000-9999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
78341
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110090715A
—
MA
Enumeration date
12/14/2005
Last updated
12/09/2025
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