Dominic Costabile
Dominic Costabile is a Student in an Organized Health Care Education/Training Program in Ellicott City, Maryland. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
13136 Williamfield DrEllicott City, MD 21042-1138
Phone: (443) 878-4692
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1164955050 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 6, 2017 |
| Last updated in NPPES | April 6, 2017 |
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