Melissa Dacosta
Physician Assistant, Medical in Wethersfield, Connecticut
1487100079- Practice location
- 1290 Silas Deane Hwy, 2ND Floor, Wethersfield, CT 06109-4337
- Phone
- 860-972-5098
- Fax
- —
- Last updated
- November 17, 2016
Melissa Dacosta is a Physician Assistant, Medical based in Wethersfield, CT. Melissa Dacosta practices in Wethersfield, CT. The NPI Number for Melissa Dacosta is 1487100079 and holds a License No. 3670 (CT). The current practice location address for Melissa Dacosta is 1290 Silas Deane Hwy, 2ND Floor, Wethersfield, CT 06109-4337 and can be reached out via phone at 860-972-5098.
Provider Profile Details
- NPI Number
- 1487100079
- Provider Name
- Melissa Dacosta
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1290 Silas Deane Hwy, 2ND Floor, Wethersfield, CT 06109-4337
- Phone Number
- 860-972-5098
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 1, 2016
- Last Update Date
- November 17, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1290 Silas Deane Hwy
2ND Floor
Wethersfield, CT 06109-4337 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-4337
- Phone Number
- 860-972-5098
Provider Business Mailing Address Details
- Address
- 42 Town St
Norwich, CT 06360-2316 - City
- Norwich
- State
- CT
- Zip
- 06360-2316
- Phone Number
- 860-886-0567
License Information
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 3670
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Melissa Dacosta?
The NPI number of Melissa Dacosta is 1487100079. It was assigned on September 1, 2016 and is currently active in the NPPES registry.
What is the specialty of Melissa Dacosta?
Melissa Dacosta is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 3670.
Where does Melissa Dacosta practice?
The practice location is 1290 Silas Deane Hwy, 2ND Floor, Wethersfield, CT 06109-4337. The office can be reached at 860-972-5098 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487100079 directly on the NPPES registry website.