# EASTERN REGIONAL PAIN MANAGEMENT, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thomas P Costello DO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922065986
- **Authorized official:** DR. THOMAS P COSTELLO DO (PRESIDENT)
- **Authorized official phone:** (215) 953-8882

## Contact information

- **Practice address:** 4979 OLD STREET RD, SUITE 1A, TREVOSE, PA 19053-6222
- **Practice address phone:** (215) 953-8882
- **Practice address fax:** (215) 953-8822
- **Mailing address:** 4979 OLD STREET RD, SUITE A, TREVOSE, PA 19053-6222
- **Mailing address phone:** (215) 953-8882
- **Mailing address fax:** (215) 953-8822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MB50806 | NJ | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | OS005840L | PA | Yes |

## Other

- **Enumeration date:** 04/26/2006
- **Last updated:** 02/20/2012