Individual
JOSEPH COSTAGLIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 CONCORD STREET, LAHEY WILMINGTON, WILMINGTON, MA 01887-2127
(978) 694-9610
(978) 694-9533
Mailing address
66 CONCORD STREET, LAHEY WILMINGTON, WILMINGTON, MA 01887-2127
(978) 694-9610
(978) 694-9533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59942
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110045692A
—
MA
Enumeration date
06/02/2005
Last updated
01/22/2016
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