Individual provider · Type 1 NPI

Cassie Cole Costa

Surgical Physician Assistant · New Bedford, MA

NPI number 1356981617 Active

Practice location

101 Page St
New Bedford, MA 02740-3464

Fax (508) 973-2640

Mailing address

200 Mill Rd Ste 180
Fairhaven, MA 02719-5255

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA7430 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1356981617

Cassie Cole Costa's National Provider Identifier is 1356981617, issued on Jan 14, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Bedford, MA. The record was last updated on Jun 3, 2024.