Individual
MR. PHILIP COSTELLO COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3241
(203) 503-3298
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3241
(203) 503-3298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005247
CT
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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