Individual
DR. BRIENNE L COSTIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPPS
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-2251
Mailing address
206 STEERE ST, ATTLEBORO, MA 02703-5228
(774) 451-7214
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
PH235206
MA
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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