Individual
SHAWN MICHAEL COSTA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 MAIN ST, MILFORD, MA 01757-2511
(508) 478-0555
(508) 473-5088
Mailing address
53 WINTER ST, CLINTON, MA 01510-4005
(978) 875-1431
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
02/07/2023
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