NPI
Mark Edward Costa
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2005-10-26
- Last updated
- 2009-08-27
Specialties
Licenses
- License MA
- 54772
Location
- Practice location
- 361 Woodward St
- City
- Waban MA
- Postal code
- 02468-2027
- Phone
- (617) 777-4080
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Waban, MA. 114 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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