Active NPIIndividual providerSole proprietor

Jamison F Costello, DO

Family Medicine in Wolfeboro, New Hampshire

NPI Number1053731646
Practice location
240 S Main St Ste A, Wolfeboro, NH 03894-4411
Fax
—
Last updated
March 13, 2025

Jamison Forrest Costello is a Family Medicine based in Wolfeboro, NH. Jamison Forrest Costello practices in Wolfeboro, NH and has the professional credentials of DO. The NPI Number for Jamison Forrest Costello is 1053731646 and holds a License No. 18414 (NH). The current practice location address for Jamison Forrest Costello is 240 S Main St Ste A, Wolfeboro, NH 03894-4411 and can be reached out via phone at 603-569-7500.

Provider Profile Details

NPI Number
1053731646
Provider Name
Jamison Forrest Costello
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
240 S Main St Ste A, Wolfeboro, NH 03894-4411
Phone Number
603-569-7500
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 22, 2014
Last Update Date
March 13, 2025
Certification Date
March 13, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
240 S Main St Ste A
Wolfeboro, NH 03894-4411
Zip
03894-4411
Phone Number
603-569-7500
Wolfeboro, NH 03894Get directions →

Provider Business Mailing Address Details

Address
240 S Main St Ste A
Wolfeboro, NH 03894-4411
City
Wolfeboro
State
NH
Zip
03894-4411
Phone Number
603-569-7574
Fax Number
603-569-7582

License Information

License Number
18414
License State
NH
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jamison F Costello, DO?

The NPI number of Jamison F Costello, DO is 1053731646. It was assigned on April 22, 2014 and is currently active in the NPPES registry.

What is the specialty of Jamison F Costello, DO?

Jamison F Costello, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NH under license number 18414.

Where does Jamison F Costello, DO practice?

The practice location is 240 S Main St Ste A, Wolfeboro, NH 03894-4411. The office can be reached at 603-569-7500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053731646 directly on the NPPES registry website.

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