Individual
DOMINICA CATHERINE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
110 HAVERHILL RD STE 505, AMESBURY, MA 01913-2150
(978) 473-3221
(833) 629-0822
Mailing address
110 HAVERHILL RD STE 505, AMESBURY, MA 01913-2150
(978) 473-3221
(833) 629-0822
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
13107
NH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
220100
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30224598
—
NH
05
—
432470999
—
ME
Enumeration date
07/11/2006
Last updated
11/04/2022
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