Provider Demographics
NPI:1891884896
Name:PAPACOSTAS, FRANK CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:CHARLES
Last Name:PAPACOSTAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:58 GARDNER ST
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-1804
Mailing Address - Country:US
Mailing Address - Phone:978-985-6067
Mailing Address - Fax:
Practice Address - Street 1:58 GARDNER ST
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-1804
Practice Address - Country:US
Practice Address - Phone:978-985-6067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA548002080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110054670AMedicaid
MAJ10892Medicare PIN