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Individual

MS. ANNE ELIZABETH DACOSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2 DUDLEY ST STE 470, PROVIDENCE, RI 02905-3248
(401) 228-0602
(401) 868-2320
Mailing address
47 SUNSET LAKE RD, WARREN, CT 06754-1701
(860) 866-6938

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4157
CT
363A00000X
Physician Assistant
Primary
PA01259
RI
363A00000X
Physician Assistant
PA7680
MA

Other

Enumeration date
07/06/2018
Last updated
11/25/2025
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