Costello, Martin

Costello, Martin is an individual health care provider with primary practice located at 526 Penn St , Reading PA 19602-1096. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Costello, Martin can be contacted via phone (610) 375-7740.

Contact Information

Primary practice address
526 Penn St Reading PA 19602-1096
Phone: (610) 375-7740
Fax: (610) 898-1149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA001312L Pennsylvania

Profile Details

NPI number 1124268669
LBN Legal business name Costello, Martin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2009
Last updated Feb 24th, 2009 - about 16 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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