ALEX COSTA

PROVIDENCE, RI
NPI1881124162
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-06-19
Last Update Date2024-04-04
Business Address
ALEX COSTA PA-C
593 EDDY ST CLAVERICK 2
PROVIDENCE, RI 02903-4923
Phone number: 401-854-2504
Mailing Address
ALEX COSTA PA-C
125 WHIPPLE ST STE 3
PROVIDENCE, RI 02908-3258
Phone number: 401-854-2504