MEDICARE: AMY A COSTA 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	207QS0010X	Sports Medicine (Family Medicine) Physician	226744	MA
2	207Q00000X	Family Medicine Physician	226744	MA

General Provider Information

NPI Number	:	1760438568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY A COSTA M.D.

Provider Business Mailing Address
First Line	:	9 INDUSTRIAL RD STE 5
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-3736
Country	:	US
Telephone Number	:	508-473-1480
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 MEDWAY RD STE 204
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-2923
Country	:	US
Telephone Number	:	508-482-5444
Fax Number	:	508-482-5408

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	09/03/2025

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Directions to “ AMY A COSTA M.D.” Practice Location

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