Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK EDWARD COSTA, MD
Active Sole ProprietorDR. MARK EDWARD COSTA, MD is a Internal Medicine healthcare provider located in WABAN, Massachusetts. NPI 1912997420 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · WABAN, MA
Registration Details
- NPI Number
- 1912997420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2005 (20.619313414066 yrs)
- Last Updated
- Aug 27, 2009
- License
-
54772 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
361 WOODWARD STWABAN, MA, 024682027Browse MA providers · Browse ZIP 02468
- Phone
- 6177774080
- Fax
- 6172244306
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in WABAN, MA
| Name | Credential | NPI |
|---|---|---|
| LAWRENCE G MILLER | M.D. | 1972665248 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.