DR. Joseph Patrick Costello III, MD

NPI #1073607651 in Swansea, Illinois

Provider Information

NPI Number: 1073607651
Entity Type: Individual
Name: DR. Joseph Patrick Costello III, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Oct 3, 2006
Last Updated: Nov 30, 2011

Practice Location

Address: 4212 N ILLINOIS ST
City: Swansea
State: Illinois
ZIP Code: 62226-1835
Phone: (618) 233-6685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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