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1497103550
MARK STEVEN COSTELLO
CHARLESTON, SC
NPI
1497103550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: SC MMD.39504 LL)
Enumeration Date
2016-05-31
Last Update Date
2016-05-31
Business Address
Dr. MARK STEVEN COSTELLO M.D.
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425-8905
Phone number: 843-792-8299
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Mailing Address
Dr. MARK STEVEN COSTELLO M.D.
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425-8905
Phone number: 843-792-8299
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