| NPI | 1447478730 |
|---|---|
| Doing Business As | COSTELLO EYE CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN L COSTELLO President 732-534-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00518500) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-11-23 |