Costello, Michael A

Costello, Michael A is an individual health care provider with primary practice located at 949 Spring Valley Rd , Maywood NJ 07607. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Costello, Michael A can be contacted via phone (201) 712-5556.

Contact Information

Primary practice address
949 Spring Valley Rd Maywood NJ 07607
Phone: (201) 712-5556
Fax: (201) 712-5556
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DI19847 New Jersey
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 22DI0198470 New Jersey
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22DI0198470 New Jersey

Profile Details

NPI number 1336220466
LBN Legal business name Costello, Michael A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Nov 18th, 2016 - about 8 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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