Melissa Dacosta
NPI #1487100079 in Wethersfield, Connecticut
Provider Information
- NPI Number
- 1487100079
- Entity Type
- Individual
- Name
- Melissa Dacosta
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Nov 17, 2016
Practice Location
- Address
- 1290 SILAS DEANE HWY
- Address 2
- 2ND FLOOR
- City
- Wethersfield
- State
- Connecticut
- ZIP Code
- 06109-4337
- Phone
- (860) 972-5098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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