Individual
PATRICIA COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
4 CREEK PKWY, UPPER CHICHESTER, PA 19061-3132
(610) 494-8700
Mailing address
1509 CRANBERRY DR, WEST NORRITON, PA 19403-5142
(215) 813-5608
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86314445
PA
133V00000X
Registered Dietitian
DN007945
PA
Other
Enumeration date
07/19/2023
Last updated
12/30/2024
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