Joseph J. Costello in Pittston - Podiatrist

Joseph J. Costello - NPI 1639148216

Joseph J. Costello is a Podiatrist in Pittston, Pennsylvania. Joseph J. Costello practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Joseph J. Costello is 1639148216. The last update date is 2012-05-03.

Joseph J. Costello's current location address is 45 N Main St, Pittston, Pennsylvania. You can contact this provider via phone number 5706544641 and fax number 5706544642. The mailing address for Joseph J. Costello is 45 N Main St, Pittston, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph J. Costello
Address 45 N Main St, Pittston, Pennsylvania
Phone Number 5706544641
Fax Number 5706544642
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1639148216
Provider Enumeration Date 2006-03-16
Last Updated Date 2012-05-03

Provider Mailing Address Detail

Address 45 N Main St
City Pittston
State Pennsylvania (PA)
Post Code 186401915
Phone Number 5706544641
Fax Number 5706544642

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No SC003054L
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3610 PA GEISINGER HEALTH PLAN
10811390003 PA --
P00002482 RAILROAD MEDICARE
475671 PA PA BLUE SHIELD
817167 PA FIRST PRIORITY

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FAQs about Joseph J. Costello

What is the unique identification code assigned to Joseph J. Costello by the Centers for Medicare & Medicaid Services?

The Joseph J. Costello has been issued the NPI (National Provider Identifier) 1639148216. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Joseph J. Costello?

The Joseph J. Costello is physically situated at 45 N Main St, in the city of Pittston, state of PA, with the postal code 186401915.

What is the Joseph J. Costello's specialty and taxonomy code?

The Joseph J. Costello's specialty is Podiatrist, and the corresponding taxonomy code is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639148216 to Joseph J. Costello?

The Centers for Medicare & Medicaid Services originally issued the 1639148216 to Joseph J. Costello on 2006-03-16.

When was the information regarding Joseph J. Costello, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Joseph J. Costello, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-05-03.

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