Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Joshua Christian Costello, IDC

Individual provider Independent Duty Corpsman · NPI 1366155632

Mr. Joshua Christian Costello, IDC is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

20 Charter Oak Dr
Groton, CT 06340-2905
Phone: (231) 670-0930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1366155632
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJanuary 3, 2023
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023

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