THAO L COSTANZA

BOSTON, MA
NPI1114433323
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MA  rn2267066)
Enumeration Date2017-12-26
Last Update Date2017-12-26
Business Address
Mrs. THAO L COSTANZA AGPCNP
110 FRANCIS ST
BOSTON, MA 02215-5501
Phone number: 617-632-7246
Mailing Address
Mrs. THAO L COSTANZA AGPCNP
153 VINE ST
EVERETT, MA 02149-4827
Phone number: 857-363-8776