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1346287851
PHILIP COSTELLO
CHARLESTON, SC
NPI
1346287851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: SC AL26767)
Enumeration Date
2006-06-01
Last Update Date
2020-10-08
Business Address
PHILIP COSTELLO MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
PHILIP COSTELLO MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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