Individual
GEORGE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 S MAIN ST, MEDICAL ARTS CENTER SUITE H, WOLFEBORO, NH 03894-4411
(603) 569-2251
(603) 569-6195
Mailing address
240 S MAIN ST, WOLFEBORO, NH 03894-4411
(603) 569-7690
(603) 569-7664
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7517
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30205436
—
NH
Enumeration date
05/15/2006
Last updated
04/15/2021
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