Individual
JULIE LEE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5969 E BROAD ST, SUITE 400, COLUMBUS, OH 43213-1546
(614) 577-8322
(614) 577-8302
Mailing address
5969 E BROAD ST, SUITE 400, COLUMBUS, OH 43213-1546
(614) 577-8322
(614) 577-8302
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35052049
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0680160
—
OH
Enumeration date
05/23/2006
Last updated
02/14/2013
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