MEDICARE: KAREN E. DOBE-COSTA DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	2045	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548259153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN E. DOBE-COSTA DPM

Provider Business Mailing Address
First Line	:	197 ADAMS RD
Second Line	:
City	:	WILLIAMSTOWN
State	:	MA
Zip	:	01267-2930
Country	:	US
Telephone Number	:	413-458-8182
Fax Number	:	413-458-3140

Provider Business Practice Location Address
First Line	:	197 ADAMS RD
Second Line	:
City	:	WILLIAMSTOWN
State	:	MA
Zip	:	01267
Country	:	US
Telephone Number	:	413-664-5900
Fax Number	:	413-664-5767

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	05/17/2018

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