Individual
JONATHAN COSTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 TER HEUN DR, FALMOUTH HOSPITAL HOSPITALIST DEPARTMENT, FALMOUTH, MA 02540-2503
(508) 457-3748
(508) 457-3749
Mailing address
100 TER HEUN DR, FALMOUTH HOSPITAL, FALMOUTH, MA 02540-2503
(508) 457-3748
(508) 457-3749
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
223964
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA37712
HPHC
MA
01
—
J28869
BCBS
MA
Enumeration date
03/03/2006
Last updated
07/08/2007
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