Individual
MS. MARY ELIZABETH COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 SOUTH ORANGE AVENUE, SETON HALL UNIVERSITY HEALTH SERVICES, SOUTH ORANGE, NJ 07079-2697
(973) 761-9175
(973) 761-9193
Mailing address
400 SOUTH ORANGE AVENUE, SETON HALL UNIVERSITY HEALTH SERVICES, SOUTH ORANGE, NJ 07079-2697
(973) 761-9175
(973) 761-9193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00157400
NJ
Other
Enumeration date
05/13/2008
Last updated
02/20/2012
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