Active NPIIndividual provider

Teresa M Crosta, PA

Physician Assistant in Brockton, Massachusetts

NPI Number1811464415
Practice location
189 Quincy St, Brockton, MA 02302-2967
Fax
508-584-3010
Last updated
June 8, 2022

Teresa Mariam Crosta is a Physician Assistant based in Brockton, MA. Teresa Mariam Crosta practices in Brockton, MA and has the professional credentials of PA. The NPI Number for Teresa Mariam Crosta is 1811464415 and holds a License No. PA6683 (MA). The current practice location address for Teresa Mariam Crosta is 189 Quincy St, Brockton, MA 02302-2967 and can be reached out via phone at 508-588-6700 and via fax at 508-584-3010.

Provider Profile Details

NPI Number
1811464415
Provider Name
Teresa Mariam Crosta
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
189 Quincy St, Brockton, MA 02302-2967
Phone Number
508-588-6700
Fax Number
508-584-3010
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2018
Last Update Date
June 8, 2022
Certification Date
June 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
189 Quincy St
Brockton, MA 02302-2967
Zip
02302-2967
Phone Number
508-588-6700
Fax Number
508-584-3010
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
189 Quincy St
Brockton, MA 02302-2967
City
Brockton
State
MA
Zip
02302-2967
Phone Number
508-588-6700
Fax Number
508-584-3010

License Information

License Number (1)
PA6683
License State (1)
MA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
PA6683
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Teresa M Crosta, PA?

The NPI number of Teresa M Crosta, PA is 1811464415. It was assigned on November 1, 2018 and is currently active in the NPPES registry.

What is the specialty of Teresa M Crosta, PA?

Teresa M Crosta, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA6683.

Where does Teresa M Crosta, PA practice?

The practice location is 189 Quincy St, Brockton, MA 02302-2967. The office can be reached at 508-588-6700 (phone) or 508-584-3010 (fax).

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 1811464415 directly on the NPPES registry website.

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