Individual
ANDREW ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
(774) 300-7200
Mailing address
10 MEADOWBROOK RD, BROCKTON, MA 02301-7122
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
043357938
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518996354
HIGH POINT TREATMENT CENTER
MA
Enumeration date
04/11/2016
Last updated
04/11/2016
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