Individual provider · Type 1 NPI

Emily Costello

Specialist · Brockton, MA

NPI number 1275208324 Active

Practice location

801 Pleasant St
Brockton, MA 02301-3052

Call (508) 586-5977 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1275208324

Emily Costello's National Provider Identifier is 1275208324, issued on Aug 11, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brockton, MA. The record was last updated on Aug 11, 2021.