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Organization
ROBERT COSTELLO MD LLC
Active
Organization
ROBERT COSTELLO MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT E COSTELLO JR. MD (AUTHORIZED REPRESENTATIVE)
(201) 390-8705
Entity
Organization
Contact information
Practice address
220 HAMBURG TPKE, SUITE 8, WAYNE, NJ 07470-2110
(973) 942-5230
(973) 942-6652
Mailing address
220 HAMBURG TPKE, SUITE 8, WAYNE, NJ 07470-2110
(973) 942-5230
(973) 942-6652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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