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1700126729
PHILIP COSTELLO COSTELLO
NEW HAVEN, CT
NPI
1700126729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 005247)
Enumeration Date
2013-02-28
Last Update Date
2013-02-28
Business Address
Mr. PHILIP COSTELLO COSTELLO APRN
400 COLUMBUS AVE
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3241
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Mailing Address
Mr. PHILIP COSTELLO COSTELLO APRN
400 COLUMBUS AVE
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3241
Copy
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