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Individual

JUSTIN COSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 780-9693
Mailing address
820 PARKER ST APT 3, BOSTON, MA 02120-3046

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN23555190
MA

Other

Enumeration date
08/29/2023
Last updated
08/29/2023
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