Costello, Thomas H

Costello, Thomas H is an individual health care provider with primary practice located at 100 Tradecenter Suite 750, Woburn MA 01801-1851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Costello, Thomas H can be contacted via phone (781) 937-3001.

Contact Information

Primary practice address
100 Tradecenter Suite 750 Woburn MA 01801-1851
Phone: (781) 937-3001
Fax: (781) 937-3070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 466552 Massachusetts

Profile Details

NPI number 1710986781
LBN Legal business name Costello, Thomas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 25th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710986781 NPPES
Massachusetts Other M12237 MEDICARE GROUP

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