Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL A COSTELLO, DMD
ActiveDR. MICHAEL A COSTELLO, DMD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in MAYWOOD, New Jersey. NPI 1336220466 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · MAYWOOD, NJ
Registration Details
- NPI Number
- 1336220466
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2006 (19.85484646671 yrs)
- Last Updated
- Nov 18, 2016
- Licenses
-
DI19847 (NJ)22DI0198470 (NJ)22DI0198470 (NJ)
Practice Information
- Address
-
949 SPRING VALLEY RDMAYWOOD, NJ, 07607Browse NJ providers · Browse ZIP 07607
- Phone
- 2017125556
- Fax
- 2017125556
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery
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.