Individual
CASEY ELIZABETH COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 STATE ST STE 700, BOSTON, MA 02109-1894
(888) 320-1776
Mailing address
60 STATE ST STE 700, BOSTON, MA 02109-1894
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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