Organization
JOHN L. COSTELLO OD PA
Active
Other names
Costello Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L COSTELLO JR. O.D. (PRESIDENT)
(732) 534-5622
Entity
Organization
Contact information
Practice address
53 KENT RD, HOWELL, NJ 07731-2452
(732) 534-5622
(732) 534-5620
Mailing address
1930 VINCENT CT, WALL TOWNSHIP, NJ 07719-9153
(732) 974-1531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00518500
NJ
Other
Enumeration date
04/23/2007
Last updated
11/23/2007
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