MEDICARE: ALDA FELICITA COSSI M.D.

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	2085R0202X	Diagnostic Radiology Physician	60550	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	300044067	OTHER	MA	RR MEDICARE

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

General Provider Information

NPI Number	:	1760400709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALDA FELICITA COSSI M.D.

Provider Business Mailing Address
First Line	:	16 EUCLID AVE
Second Line	:
City	:	WINCHESTER
State	:	MA
Zip	:	01890-1445
Country	:	US
Telephone Number	:	781-879-9371
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 DRAPER ST
Second Line	:
City	:	WOBURN
State	:	MA
Zip	:	01801-4570
Country	:	US
Telephone Number	:	781-879-9371
Fax Number	:

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	05/13/2019

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