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Individual
JOSEPH J. COSTELLO
Active
Individual
JOSEPH J. COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003054L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010811390003
—
PA
01
—
3610
GEISINGER HEALTH PLAN
PA
01
—
475671
PA BLUE SHIELD
PA
01
—
817167
FIRST PRIORITY
PA
01
—
P00002482
RAILROAD MEDICARE
—
Enumeration date
03/16/2006
Last updated
05/03/2012
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