Whalio Doctors

NPI 1336220466

Michael a Costello, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Maywood, NJ

Practice location

Address
949 Spring Valley Rd, Maywood, NJ 07607
Phone
(201) 712-5556
Fax
(201) 712-5556

Registered specialties (3)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 22DI0198470 (NJ)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence DI19847 (NJ)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 22DI0198470 (NJ)

Registry record

NPI
1336220466
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Oct 2006
Record last updated
18 Nov 2016

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.