Eileen Mary Costello in Boston - Pediatrics
Eileen Mary Costello - NPI 1629053673
Eileen Mary Costello is a Pediatrics in Boston, Massachusetts. Eileen Mary Costello practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Eileen Mary Costello is 1629053673. The last update date is 2015-08-28.
Eileen Mary Costello's current location address is 850 Harrison Ave, Boston, Massachusetts. You can contact this provider via phone number 6174145946 and fax number 6174144541. The mailing address for Eileen Mary Costello is 850 Harrison Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eileen Mary Costello |
|---|---|
| Address | 850 Harrison Ave, Boston, Massachusetts |
| Phone Number | 6174145946 |
| Fax Number | 6174144541 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629053673 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2015-08-28 |
Provider Mailing Address Detail
| Address | 850 Harrison Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21184001 |
| Phone Number | 6174145946 |
| Fax Number | 6174144541 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 71766 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110048931A | MA | -- |
Post Comment/ Review Below
What is the Eileen Mary Costello's 1629053673?
The Eileen Mary Costello's NPI (National Provider Identifier) Number is 1629053673. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Eileen Mary Costello is located?
The Eileen Mary Costello is situated at the following address: 850 Harrison Ave, Boston, MA, 21184001.
What is Eileen Mary Costello's area of expertise and its corresponding taxonomy classification?
The Eileen Mary Costello's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1629053673 to Eileen Mary Costello?
The Centers for Medicare & Medicaid Services assigned the 1629053673 to Eileen Mary Costello on 2005-12-13.
As of what date were the Eileen Mary Costello's details last updated?
The information pertaining to the Eileen Mary Costello, including its address, specialty, and other details, was most recently updated on 2015-08-28.