Dr. Mark E Costa, MD
Internal Medicine in Waban, Massachusetts
1912997420- Practice location
- 361 Woodward St, Waban, MA 02468-2027
- Phone
- 617-777-4080
- Fax
- 617-224-4306
- Last updated
- August 27, 2009
Mark Edward Costa is an Internal Medicine based in Waban, MA. Mark Edward Costa practices in Waban, MA and has the professional credentials of MD. The NPI Number for Mark Edward Costa is 1912997420 and holds a License No. 54772 (MA). The current practice location address for Mark Edward Costa is 361 Woodward St, Waban, MA 02468-2027 and can be reached out via phone at 617-777-4080 and via fax at 617-224-4306.
Provider Profile Details
- NPI Number
- 1912997420
- Provider Name
- Mark Edward Costa
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 361 Woodward St, Waban, MA 02468-2027
- Phone Number
- 617-777-4080
- Fax Number
- 617-224-4306
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 26, 2005
- Last Update Date
- August 27, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 361 Woodward St
Waban, MA 02468-2027 - City
- Waban
- State
- Massachusetts
- Zip
- 02468-2027
- Phone Number
- 617-777-4080
- Fax Number
- 617-224-4306
Provider Business Mailing Address Details
- Address
- 361 Woodward St
Waban, MA 02468-2027 - City
- Waban
- State
- MA
- Zip
- 02468-2027
- Phone Number
- 617-777-4080
- Fax Number
- 617-224-4306
License Information
- License Number
- 54772
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · 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 Dr. Mark E Costa, MD?
The NPI number of Dr. Mark E Costa, MD is 1912997420. It was assigned on October 26, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark E Costa, MD?
Dr. Mark E Costa, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 54772.
Where does Dr. Mark E Costa, MD practice?
The practice location is 361 Woodward St, Waban, MA 02468-2027. The office can be reached at 617-777-4080 (phone) or 617-224-4306 (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 1912997420 directly on the NPPES registry website.