JOSHUA CHRISTIAN COSTELLO

GROTON, CT
NPI1366155632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2023-01-03
Last Update Date2023-01-03
Business Address
Mr. JOSHUA CHRISTIAN COSTELLO IDC
20 CHARTER OAK DR
GROTON, CT 06340-2905
Phone number: 231-670-0930
Mailing Address
Mr. JOSHUA CHRISTIAN COSTELLO IDC
20 CHARTER OAK DR
GROTON, CT 06340-2905
Phone number: 231-670-0930