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Individual

DR. GINA MARIE COSTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2200 GAR HWY, SWANSEA, MA 02777-3935
(508) 379-9605
(508) 379-9813
Mailing address
2200 GAR HWY, SWANSEA, MA 02777-3935
(508) 379-9605
(508) 379-9813

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
226978
MA

Other

Enumeration date
02/17/2006
Last updated
01/23/2012
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