Peter Costa is a Clinical in Manchester, New Hampshire. Peter Costa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Peter Costa is 1629174313. The last update date is 2021-03-22.
Peter Costa's current location address is 2 Wall St Ste 300, Manchester, New Hampshire. You can contact this provider via phone number 6036684111. The mailing address for Peter Costa is 2 Wall St Ste 300, Manchester, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Costa |
|---|---|
| Address | 2 Wall St Ste 300, Manchester, New Hampshire |
| Phone Number | 6036684111 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1629174313 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2021-03-22 |
Provider Mailing Address Detail
| Address | 2 Wall St Ste 300 |
|---|---|
| City | Manchester |
| State | New Hampshire (NH) |
| Post Code | 31011518 |
| Phone Number | 6036684111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1165 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7706660Y0NH01 | NH | BLUE CROSS | |
| 2067742 | NH | CIGNA | |
| 020258994-25 | NH | HARVARD PILGRIM |
Post Comment/ Review Below
What is the unique provider identifier assigned to Peter Costa?
The Peter Costa has been issued the NPI (National Provider Identifier) 1629174313 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Peter Costa?
The Peter Costa is physically situated at 2 Wall St Ste 300, in the city of Manchester, state of NH, with the postal code 31011518.
What is the Peter Costa's area of specialization and corresponding taxonomy classification?
The Peter Costa's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did Peter Costa receive its 1629174313 assignment from the Centers for Medicare & Medicaid Services?
The Peter Costa was assigned its 1629174313 on 2006-09-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Peter Costa most recently updated or revised?
The information pertaining to Peter Costa, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-22.