MATTHEW JACOB DACOSTA PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1093201667- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 827 AMERICAN LEGION HWY, WESTPORT, MA, 027904128
- Phone
- (508) 636-5101
- Fax
- (508) 636-3651
Specialties & Taxonomies
Physician Assistant
Primary License: MA #PA7684
Physician Assistant
License: RI #PA01269