Individual
BRETT COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
8605 EVERGREEN TRL, APT 312, OLMSTED TWP, OH 44138-4268
(440) 785-2033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004734RX
OH
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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