Organization
JOSEPH J. COSTELLO DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH COSTELLO DPM (OWNER)
(570) 654-4641
Entity
Organization
Contact information
Practice address
45 N MAIN ST, SUITE 1, PITTSTON, PA 18640-1915
(570) 654-4641
(570) 654-4642
Mailing address
45 N MAIN ST, SUITE 1, PITTSTON, PA 18640-1915
(570) 654-4641
(570) 654-4642
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC-003054-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00002482
RR MCR
—
Enumeration date
12/04/2007
Last updated
03/19/2008
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