Larissa M Costa, PA-C
Physician Assistant in Upton, MA. Individual provider (NPI-1).
NPI number1982121422
StatusActive
Last updated in NPPESJul 24, 2026
Details
- NPI
- 1982121422
- Entity type
- Individual (NPI-1)
- Name
- Larissa M Costa
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2017
- Certification date
- Jul 24, 2026
- Last updated
- Jul 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA6244 | MA | Yes |
| 363AM0700X | Physician Assistant, Medical | PA6244 | MA |
Practice location
236 Milford StUpton, MA 01568-1309
Phone 508-473-1015 · Fax 508-634-0261
Mailing address
Po Box 415348Boston, MA 02241-5348
Phone 800-225-8885
Other practice locations
14 Prospect St
Milford, MA 01757-3003
Milford, MA 01757-3003
Phone 508-473-1190 · Fax 508-482-5416
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