Pamela J Costello in Johnson City - Neurology
Pamela J Costello - NPI 1457365876
Pamela J Costello is a Neurology in Johnson City, Tennessee. Pamela J Costello practices all healthcare services and medical treatments related to Neurology. The NPI Number for Pamela J Costello is 1457365876. The last update date is 2019-10-25.
Pamela J Costello's current location address is 3915 Bristol Hwy Ste 103, Johnson City, Tennessee. You can contact this provider via phone number 4234610073 and fax number 4234610076. The mailing address for Pamela J Costello is 3915 Bristol Hwy Ste 103, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela J Costello |
|---|---|
| Address | 3915 Bristol Hwy Ste 103, Johnson City, Tennessee |
| Phone Number | 4234610073 |
| Fax Number | 4234610076 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457365876 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2019-10-25 |
Provider Mailing Address Detail
| Address | 3915 Bristol Hwy Ste 103 |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376011400 |
| Phone Number | 4234610073 |
| Fax Number | 4234610076 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | MD0000056597 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q050671 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pamela J Costello by the Centers for Medicare & Medicaid Services?
The Pamela J Costello has been issued the NPI (National Provider Identifier) 1457365876 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Pamela J Costello's facilities are geographically located?
The facilities of Pamela J Costello are physically situated at the following location: 3915 Bristol Hwy Ste 103, Johnson City, TN, 376011400.
What is the area of specialization for Pamela J Costello, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pamela J Costello is Neurology, and the corresponding taxonomy code that categorizes this area of expertise is 2084N0400X.
When did the Pamela J Costello receive its 1457365876?
The Pamela J Costello was issued its 1457365876 on 2006-07-28, which is the date when the organization was assigned this unique identifier.
When was the information regarding Pamela J Costello most recently updated?
The details pertaining to the Pamela J Costello, including its address, specialty, and other relevant information, were last refreshed on 2019-10-25.