Larissa M Costa, PA

NPI #1982121422 in Milford, Massachusetts

Provider Information

NPI Number
1982121422
Entity Type
Individual
Name
Larissa M Costa, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Aug 25, 2017
Last Updated
Aug 25, 2017

Practice Location

Address
14 PROSPECT ST
ZIP Code
01757-3003
Phone
(508) 473-1190

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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