| Joseph J. Costello Dpm | |
|
45 N Main St, Suite 1, Pittston, PA 18640-1915 | |
| (570) 654-4641 | |
| (570) 654-4642 |
| Full Name | Joseph J. Costello Dpm |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 45 N Main St, Pittston, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821270521 | NPI | - | NPPES |
| P00002482 | Other | RR MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | SC-003054-L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph J. Costello Dpm 45 N Main St, Suite 1, Pittston, PA 18640-1915 Ph: (570) 654-4641 | Joseph J. Costello Dpm 45 N Main St, Suite 1, Pittston, PA 18640-1915 Ph: (570) 654-4641 |
Wyoming Valley Foot Associates P C Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 457 N Main St Ste 105, Pittston, PA 18640 Phone: 570-299-2953 Fax: 570-569-2117 | |
Joseph J. Costello, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 45 N Main St, Suite 1, Pittston, PA 18640 Phone: 570-654-4641 Fax: 570-654-4642 |