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Individual
BETTINA M COSTELLO
Active
Individual
BETTINA M COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11620
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080246
—
NH
Enumeration date
09/06/2005
Last updated
11/23/2015
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