Individual
DR. JENNIFER LEE COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, BCPS
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-2928
(973) 322-5185
Mailing address
107 HILLCREST AVE, CRANFORD, NJ 07016-2607
(973) 322-2928
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28RI02904400
NJ
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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