Individual provider · Type 1 NPI

Joseph Patrick Costello Ii, MD

Student in an Organized Health Care Education/Training Program · Charlotte, NC

NPI number 1104657733 Active

Practice location

1000 Blythe Blvd., Meb-Suite 157 - Attn: Institutional Coordinator
Charlotte, NC 28203

Call (605) 610-7904 Map

Mailing address

108 W Saint Andrews Dr
Sioux Falls, SD 57108-2956

Other practice locations

  • 1600 NW 10th Ave # 1140, Miami, FL 33136-1015 · (305) 243-3234

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104657733

Joseph Patrick Costello Ii, MD's National Provider Identifier is 1104657733, issued on Aug 14, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 23, 2025.