Costello, Mary Elizabeth

Costello, Mary Elizabeth is an individual health care provider with primary practice located at 400 South Orange Avenue Seton Hall University Health Services, South Orange NJ 07079-2697. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Costello, Mary Elizabeth can be contacted via phone (973) 761-9175.

Contact Information

Primary practice address
400 South Orange Avenue Seton Hall University Health Services South Orange NJ 07079-2697
Phone: (973) 761-9175
Fax: (973) 761-9193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00157400 New Jersey

Profile Details

NPI number 1497922157
LBN Legal business name Costello, Mary Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2008
Last updated Feb 20th, 2012 - about 12 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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