LISA COSTELLO

BORDENTOWN, NJ
NPI1174085435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ00900700)
Enumeration Date2019-04-04
Last Update Date2021-04-26
Business Address
LISA COSTELLO APN
100 K JOHNSON BLVD N. 2ND FLOOR
BORDENTOWN, NJ 08505
Phone number: 609-528-8884
Mailing Address
LISA COSTELLO APN
100 K JOHNSON BLVD N. 2ND FLR
BORDENTOWN, NJ 08505-2275
Phone number: 609-528-8884