Individual
DORIS T COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 DUDLEY ST, WOMEN & INFANTS HOSPITAL, PROVIDENCE, RI 02905-2401
(401) 274-1122
(401) 453-7533
Mailing address
PO BOX 603314, PROVIDENCE, RI 02906-0714
(401) 274-8110
(401) 861-5220
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD7968
RI
Other
Enumeration date
05/19/2006
Last updated
10/28/2022
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