Dr. Michael A. Costello DMD
Oral & Maxillofacial Surgery (D.M.D.) in Maywood, NJ(View on Map)
Full Name
Dr. Michael A Costello DMD
NPI Number
1336220466
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/17/2006
Specialties
(Taxonomies)Code
204E00000X
1223S0112X
Primary Taxonomy
Yes
No
Licenses
State
New Jersey
New Jersey
License Number
22DI0198470
DI19847
Contact
Information
Purpose
Mailing
Location
Address
949 SPRING VALLEY RD
949 SPRING VALLEY RD
City
Maywood
Maywood
State
NJ
NJ
Postal Code
07607
07607
Country
US
US
Telephone Number
(201) 712-5556
(201) 712-5556
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/18/2016