Provider Demographics
NPI:1548259153
Name:DOBE-COSTA, KAREN E (DPM)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:DOBE-COSTA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 ADAMS RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2930
Mailing Address - Country:US
Mailing Address - Phone:413-458-8182
Mailing Address - Fax:413-458-3140
Practice Address - Street 1:197 ADAMS RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267
Practice Address - Country:US
Practice Address - Phone:413-664-5900
Practice Address - Fax:413-664-5767
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2045213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0358452Medicaid
VTOVN1198Medicaid
MA0358452Medicaid
VTOVN1198Medicaid
U57337Medicare UPIN