NPI 1003446261
Via Affiliates
Practice location
- Address
- 599 W State St STE 302, Doylestown, PA 18901-2567
- Phone
- (215) 230-6982
- Fax
- (215) 230-6983
- Mailing address
- PO Box 829641, Philadelphia, PA 19182-0001
Authorised official
- Name
- Matt Costello
- Title
- Senior Executive - Director
- Phone
- (215) 345-2389
Registered specialties
Vascular Surgery Physician
Primary
Registry record
- NPI
- 1003446261
- Entity type
- Organization
- NPI issued
- 16 Jan 2020
- Record last updated
- 5 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.