Individual
NANCY E COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 COMPASS WAY, SUITE 102, EAST BRIDGEWATER, MA 02333-1465
(508) 350-2100
(508) 350-2316
Mailing address
362 N BEDFORD ST, EAST BRIDGEWATER, MA 02333-1148
(508) 350-2350
(508) 350-2318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
223278
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112621
—
MA
01
—
41687
HPHC
MA
01
—
426273
TAHP
MA
01
—
J29175
BC/BS
MA
01
—
SX3613
MEDICARE PTAN
MA
Enumeration date
07/06/2006
Last updated
04/20/2026
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