Individual
BENJAMIN COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 GRAND AVE, NEWPORT, KY 41071-2570
(859) 781-2210
(859) 781-0289
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.092494
OH
207R00000X
Internal Medicine Physician
Primary
52922
KY
Other
Enumeration date
06/26/2008
Last updated
01/12/2026
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