Individual
DR. JAMES S COSTLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3824 NORTHERN PIKE, STE 200, MONROEVILLE, PA 15146-2141
(412) 380-2800
(412) 380-2812
Mailing address
3824 NORTHERN PIKE, STE 700, MONROEVILLE, PA 15146-2141
(412) 457-0060
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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