Pamela J. Costello, Md, Pc in Johnson City - Neurology
Pamela J. Costello, Md, Pc - NPI 1942310149
Pamela J. Costello, Md, Pc is a Neurology in Johnson City, Tennessee. Pamela J. Costello, Md, Pc practices all healthcare services and medical treatments related to Neurology. The NPI Number for Pamela J. Costello, Md, Pc is 1942310149. The last update date is 2019-11-08.
Pamela J. Costello, Md, Pc'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, Md, Pc is 3915 Bristol Hwy Ste 103, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pamela J. Costello, Md, Pc |
|---|---|
| Address | 3915 Bristol Hwy Ste 103, Johnson City, Tennessee |
| Phone Number | 4234610073 |
| Fax Number | 4234610076 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Costello J Pamela |
| Credentials | MD |
| Telephone Number | 4234610073 |
NPI Number Detail
| NPI Number | 1942310149 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2019-11-08 |
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 |
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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 |
|---|---|---|---|
| Q05797A | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Pamela J. Costello, Md, Pc by the Centers for Medicare & Medicaid Services?
The Pamela J. Costello, Md, Pc has been assigned the NPI (National Provider Identifier) 1942310149 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Pamela J. Costello, Md, Pc's physical address?
The Pamela J. Costello, Md, Pc is physically located at 3915 Bristol Hwy Ste 103, in the city of Johnson City, TN, with the postal code 376011400.
What is Pamela J. Costello, Md, Pc's area of expertise and its corresponding taxonomy classification?
The Pamela J. Costello, Md, Pc's field of specialization is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1942310149 to Pamela J. Costello, Md, Pc?
The Centers for Medicare & Medicaid Services assigned the 1942310149 to Pamela J. Costello, Md, Pc on 2006-08-30.
As of what date were the details related to Pamela J. Costello, Md, Pc most recently updated or revised?
The information pertaining to Pamela J. Costello, Md, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2019-11-08.