Costello, Victoria Walker
Costello, Victoria Walker is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Costello, Victoria Walker can be contacted via phone (860) 679-8400.Contact Information
Primary practice address
263 Farmington Ave
Farmington CT 06030-0001
Phone: (860) 679-8400
Fax: (860) 679-8188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01066714A | Indiana |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 01066714A | Indiana |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 54555 | Connecticut |
Profile Details
| NPI number | 1265578280 |
|---|---|
| LBN Legal business name | Costello, Victoria Walker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Sep 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265578280 | NPPES |
| Indiana | MEDICAID | 200959610 |
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