Organization
EASTERN REGIONAL PAIN MGT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P COSTELLO D.O. (PRESIDENT)
(215) 953-8882
Entity
Organization
Contact information
Practice address
151 FRIES MILL RD, TURNERSVILLE, NJ 08012-2016
(856) 401-8864
(215) 953-8822
Mailing address
4979 OLD STREET RD, SUITE 1A, TREVOSE, PA 19053-6222
(215) 953-8882
(215) 953-8822
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS005840L
PA
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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