Individual
DR. JAMES S COSTLOW
Active
Individual
DR. JAMES S COSTLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD022329E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000788563
—
PA
01
—
063157
BLUE SHIELD
—
01
—
102259
UPMC HEALTH PLAN
—
01
—
110079450
RAILROAD MEDICARE
—
01
—
4077096
AETNA
—
01
—
P000750
GATEWAY HEALTH PLAN
—
Enumeration date
08/04/2006
Last updated
10/29/2020
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