GREGORY ANTHONY COSTELLO

WYCKOFF, NJ
NPI1154411254
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NJ  25MA06626300)
Enumeration Date2006-10-13
Last Update Date2007-12-20
Business Address
Dr. GREGORY ANTHONY COSTELLO MD
700 MOUNTAIN AVE
WYCKOFF, NJ 07481-1047
Phone number: 201-848-8005
Mailing Address
Dr. GREGORY ANTHONY COSTELLO MD
587 EDER AVE
FRANKLIN LAKES, NJ 07417-3011
Phone number: 201-847-2422
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