Individual
MR. GERALD P COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1 BERKSHIRE SQ, ADAMS, MA 01220-1300
(413) 743-9934
Mailing address
16 BARNARD RD, SAVOY, MA 01256-9245
(413) 743-8006
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
108219
MA
Other
Enumeration date
04/11/2008
Last updated
04/26/2012
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