Individual
MR. JAMES COSTELLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4120 PRESCOTT RD, MODESTO, CA 95356-8418
(209) 544-7300
(209) 544-7323
Mailing address
4120 PRESCOTT RD, MODESTO, CA 95356-8418
(209) 544-7300
(209) 544-7323
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PA10823
CA
Other
Enumeration date
09/30/2005
Last updated
03/07/2023
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