Male or Other

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

Provider Address