Robert Costello MD LLC

NPI #1790154540 in Wayne, New Jersey

Provider Information

NPI Number
1790154540
Entity Type
Organization
Organization Name
Robert Costello MD LLC
Primary Specialty
Internal Medicine
Enumeration Date
Sep 23, 2015
Last Updated
Sep 23, 2015

Practice Location

Address
220 HAMBURG TPKE
Address 2
SUITE 8
City
Wayne
ZIP Code
07470-2110
Phone
(973) 942-5230

Authorized Official

Name
ROBERT E COSTELLO JR., MD
Title
AUTHORIZED REPRESENTATIVE
Phone
(201) 390-8705

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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