NPI | 1922065986 |
---|---|
Former Legal Business Name | THOMAS P COSTELLO DO |
Entity Type | Organization |
Authorized Contact | THOMAS P COSTELLO President 215-953-8882 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS005840L) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NJ MB50806) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2012-02-20 |