Individual
DR. JOANNA MICHELE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 LOTHROP ST, ROOM 3950 CHP CMT, PITTSBURGH, PA 15213-2546
(412) 647-3553
Mailing address
200 LOTHROP ST, ROOM 3950 CHP CMT, PITTSBURGH, PA 15213-2546
(412) 647-3553
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD041701E
PA
2085B0100X
Body Imaging Physician
MD041701E
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD041701E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001209549
—
PA
Enumeration date
02/07/2006
Last updated
03/22/2010
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