Individual
MRS. NELI COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.O
Contact information
Practice address
846 ASHLEY BLVD, NEW BEDFORD, MA 02745-2403
(508) 995-6000
(508) 995-7067
Mailing address
846 ASHLEY BLVD, NEW BEDFORD, MA 02745-2403
(508) 995-6000
(508) 995-7067
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5945
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0708755
—
MA
Enumeration date
03/30/2007
Last updated
05/26/2016
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