Individual
DR. PAUL DAVID COSTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 ORNAC, JOHN CUMING BLDG STE 850, CONCORD, MA 01742-4177
(978) 369-1579
(978) 369-0304
Mailing address
131 ORNAC, JOHN CUMING BLDG STE 850, CONCORD, MA 01742-4177
(978) 369-1579
(978) 369-0304
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
70665
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21600
HARVARD PILGRIM HEALTH PL
MA
01
—
719949
TUFTS HEALTH PLAN
MA
01
—
J11048
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/24/2006
Last updated
07/26/2012
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