Individual
DR. JOHN COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4190 CITY AVE, PCOM, PHILADELPHIA, PA 19131-1626
(215) 871-6693
Mailing address
4190 CITY AVE, PCOM, PHILADELPHIA, PA 19131-1626
(215) 871-6693
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
25MB09657300
NJ
Other
Enumeration date
06/11/2012
Last updated
11/11/2021
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