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1346067568
MICHAEL COSTELLO
PHILADELPHIA, PA
NPI
1346067568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine Cardiovascular Disease
(Licence: PA SP030589)
Enumeration Date
2024-09-20
Last Update Date
2024-09-20
Business Address
MICHAEL COSTELLO CRNP
1 CONVENTION AVE
PHILADELPHIA, PA 19104-4311
Phone number: 215-662-4000
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Mailing Address
MICHAEL COSTELLO CRNP
26 RADNOR BLVD
MARLTON, NJ 08053-2316
Phone number:
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