PHILIP COSTELLO COSTELLO

NEW HAVEN, CT
NPI1700126729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CT  005247)
Enumeration Date2013-02-28
Last Update Date2013-02-28
Business Address
MR. PHILIP COSTELLO COSTELLO APRN
400 COLUMBUS AVE
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3241
Mailing Address
MR. PHILIP COSTELLO COSTELLO APRN
400 COLUMBUS AVE
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3241
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