Individual
CASSIE COLE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PAGE ST, NEW BEDFORD, MA 02740-3464
(508) 973-2204
(508) 973-2640
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA7430
MA
Other
Enumeration date
01/14/2020
Last updated
06/03/2024
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