Costello, Edmund J
Costello, Edmund J is an individual health care provider with primary practice located at 1698 Centre St , West Roxbury MA 02132-1240. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Costello, Edmund J can be contacted via phone (617) 327-9656.Contact Information
Primary practice address
1698 Centre St
West Roxbury MA 02132-1240
Phone: (617) 327-9656
Fax: (781) 769-0599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | MA10764 | Massachusetts |
Profile Details
| NPI number | 1831106541 |
|---|---|
| LBN Legal business name | Costello, Edmund J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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