Kevin Robert Costello in Peterborough - Surgical
Kevin Robert Costello - NPI 1861441545
Kevin Robert Costello is a Surgical in Peterborough, New Hampshire. Kevin Robert Costello practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kevin Robert Costello is 1861441545. The last update date is 2012-04-16.
Kevin Robert Costello's current location address is 458 Old Street Rd, Peterborough, New Hampshire. You can contact this provider via phone number 6039242144. The mailing address for Kevin Robert Costello is 458 Old Street Rd, Peterborough, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Robert Costello |
|---|---|
| Address | 458 Old Street Rd, Peterborough, New Hampshire |
| Phone Number | 6039242144 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1861441545 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2012-04-16 |
Provider Mailing Address Detail
| Address | 458 Old Street Rd |
|---|---|
| City | Peterborough |
| State | New Hampshire (NH) |
| Post Code | 34581265 |
| Phone Number | 6039242144 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30338176 | NH | -- | |
| 17075 | MEDICARE PTAN |
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What is the unique 10-digit identifier code issued to Kevin Robert Costello by the Centers for Medicare & Medicaid Services?
The Kevin Robert Costello has been assigned the NPI (National Provider Identifier) 1861441545 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kevin Robert Costello located?
The Kevin Robert Costello is located at 458 Old Street Rd, Peterborough, NH 34581265.
What is Kevin Robert Costello's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Robert Costello's specialized field of practice is Surgical, and the corresponding taxonomy code that categorizes this area of specialization is 363As0400X.
When did the Kevin Robert Costello receive its 1861441545?
The Kevin Robert Costello was issued its 1861441545 on 2006-05-09, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kevin Robert Costello, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin Robert Costello, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-04-16.