STEFANIE COSTELLO

RAYNHAM, MA
NPI1881096683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MA  PA5132)
Enumeration Date2014-09-23
Last Update Date2014-11-21
Business Address
-- STEFANIE COSTELLO PA-C
350 FOREST ST
RAYNHAM, MA 02767-1126
Phone number: 508-824-5231
Mailing Address
-- STEFANIE COSTELLO PA-C
350 FOREST ST
RAYNHAM, MA 02767-1126
Phone number: