Search › Massachusetts › 207R00000X
Mark Costa, MD
NPI 1912997420 · on the registry since 2005 · sole proprietor
Practice
- Address
- 361 Woodward St
Waban, MA 02468 - Phone
- (617) 777-4080
- Fax
- (617) 224-4306
- Organisation at this address
- Enhanced Medical Care, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts