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1033197116
DANIEL J COSTELLO
BOSTON, MA
NPI
1033197116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MA 221367)
Enumeration Date
2006-01-09
Last Update Date
2007-07-08
Business Address
-- DANIEL J COSTELLO M.D.
MASSACHUSETTS GENERAL HOSPITAL WACC 835, 55 FRUIT STREET
BOSTON, MA 02114
Phone number: 617-726-2000
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Mailing Address
-- DANIEL J COSTELLO M.D.
60 GLEN ROAD APT 201W
BROOKLINE, MA 02445-7731
Phone number: 617-277-1283
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