GERARD T COSTELLO

MUNCIE, IN
NPI1902960149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IN  01034732)
Enumeration Date2006-12-21
Last Update Date2020-12-28
Business Address
GERARD T COSTELLO MD
2401 UNIVERSITY AVE
MUNCIE, IN 47303
Phone number: 765-741-3111
Mailing Address
GERARD T COSTELLO MD
1200 W WHITE RIVER BLVD RCS PROVIDER ENROLLMENT
MUNCIE, IN 47303-4988
Phone number: 765-254-4009
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