Individual
DR. JAMES V COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8000
Mailing address
22 PEARL ST, NEWPORT, RI 02840-2055
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C2-0013713
DE
207P00000X
Emergency Medicine Physician
Primary
DO01181
RI
207P00000X
Emergency Medicine Physician
DO3416
ME
Other
Enumeration date
06/13/2017
Last updated
08/10/2023
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