Dominic Costabile

NPI #1164955050 in Ellicott City, Maryland

Provider Information

NPI Number
1164955050
Entity Type
Individual
Name
Dominic Costabile
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Apr 6, 2017
Last Updated
Apr 6, 2017

Practice Location

Address
13136 WILLIAMFIELD DR
ZIP Code
21042-1138
Phone
(443) 878-4692

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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