Costello, Frederick M

Costello, Frederick M is an individual health care provider with primary practice located at 8854 W Emerald St Ste 260 , Boise ID 83704-4860. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Costello, Frederick M can be contacted via phone (208) 398-4306.

Contact Information

Primary practice address
8854 W Emerald St Ste 260 Boise ID 83704-4860
Phone: (208) 398-4306
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200400112 North Carolina
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X M10231 Idaho

Profile Details

NPI number 1285851337
LBN Legal business name Costello, Frederick M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jul 19th, 2023 - about last year

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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