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1881124162
ALEX COSTA
PROVIDENCE, RI
NPI
1881124162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-06-19
Last Update Date
2024-04-04
Business Address
ALEX COSTA PA-C
593 EDDY ST CLAVERICK 2
PROVIDENCE, RI 02903-4923
Phone number: 401-854-2504
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Mailing Address
ALEX COSTA PA-C
125 WHIPPLE ST STE 3
PROVIDENCE, RI 02908-3258
Phone number: 401-854-2504
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