DR. Mark Edward Costa, MD

NPI #1912997420 in Waban, Massachusetts

Provider Information

NPI Number: 1912997420
Entity Type: Individual
Name: DR. Mark Edward Costa, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Oct 26, 2005
Last Updated: Aug 27, 2009

Practice Location

Address: 361 WOODWARD ST
City: Waban
State: Massachusetts
ZIP Code: 02468-2027
Phone: (617) 777-4080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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Organizations

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