| Doctor Name: | JOHN M F COSTA |
| NPI Number: | 1063585370 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35165 |
| Business Practice Address: | 42 Lands End Way Swansea, MA - 027772910 |
| Business Phone Number: | 5086743434 |
| Business Fax Number: | |
| Mailing Address: | 42 Lands End Way, SWANSEA |
| State: | MA |
| Postal Code: | 027772910 |
| Phone Number: | 5086743434 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0401X |
| License Number: | 35165 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |