Doctor Name: | DR. THOMAS P COSTELLO |
NPI Number: | 1659570331 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS005840L |
Business Practice Address: | 4979 Old Street Rd Suite A Trevose, PA - 190536222 |
Business Phone Number: | 2159538882 |
Business Fax Number: | 2159538822 |
Mailing Address: | 4979 Old Street Rd, Suite A TREVOSE |
State: | PA |
Postal Code: | 190536222 |
Phone Number: | 2159538882 |
Fax Number: | 2159538822 |
NPI Enumeration Date: | 07/13/2007 |
NPI Last Update Date: | 10/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207LP2900X |
License Number: | OS005840L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Anesthesiology |
Taxonomy Specialization: | Pain Medicine |
Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |