Individual
KIMBERLY J COSTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 MAIN ST, SUITE 214, MEDFORD, MA 02155-4540
(781) 391-3532
(781) 391-6224
Mailing address
101 MAIN ST, SUITE 214, MEDFORD, MA 02155-4540
(781) 391-3532
(781) 391-6224
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
251684
MA
Other
Enumeration date
05/11/2006
Last updated
07/21/2022
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