| NPI | 1891004685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P COSTELLO Pain Doctor Anesthesiology/Pain Man 215-945-8882 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA 05005840L) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ MB50806) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |