John E Costello, MD

NPI #1871589267 in Ithaca, New York

Provider Information

NPI Number: 1871589267
Entity Type: Individual
Name: John E Costello, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Sep 21, 2005
Last Updated: Apr 30, 2008

Practice Location

Address: 217 N AURORA ST
City: Ithaca
State: New York
ZIP Code: 14850-4345
Phone: (607) 273-2811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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