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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN COSTELLO, MD

Active

JOHN COSTELLO, MD is a Pediatric Critical Care Medicine healthcare provider located in CHARLESTON, South Carolina. NPI 1053302992 is currently active in the NPPES registry. Verify at CMS.

Pediatric Critical Care Medicine · CHARLESTON, SC

Registration Details

NPI Number
1053302992
Provider Type
Individual
Gender
Male
NPI Issued
Oct 31, 2005 (20.743701640289 yrs)
Last Updated
Feb 18, 2022
Licenses
217260 (MA)
52686 (SC)
52686 (SC)

Practice Information

Address
171 ASHLEY AVE
CHARLESTON, SC, 29425
Browse SC providers · Browse ZIP 29425
Phone
8437921414
Primary Specialty
Pediatric Critical Care Medicine
2080P0203X
Additional Specialty
Pediatric Cardiology

Other Pediatric Critical Care Medicine Providers in CHARLESTON, SC

Name Credential NPI
MARK ALEXANDER SCHEURER MD 1649247206
ERIC MATTHEW GRAHAM MD 1124136098
JOEL B COCHRAN DO 1487762332
FRED TECKLENBURG MD 1750499794
DAVID HABIB MD 1699883645
SALLY A WEBB MD 1053429001
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.