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Dominic Costabile
Student in an Organized Health Care Education/Training Program in Ellicott City, Maryland
NPI 1164955050

Dominic Costabile is a Student in an Organized Health Care Education/Training Program based in Ellicott City, MD. Dominic Costabile practices in Ellicott City, MD. The NPI Number for Dominic Costabile is 1164955050 and holds a License No. (Maryland).

The current practice location address for Dominic Costabile is 13136 Williamfield Dr, Ellicott City, MD and can be reached out via phone at 443-878-4692. You can also correspond with Dominic Costabile through the mailing address at 13136 WILLIAMFIELD DR, ELLICOTT CITY, MD - 21042-1138 (mailing address contact number: 443-878-4692).

Location: 13136 Williamfield Dr, Ellicott City, MD, 21042-1138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164955050
Provider Name
Dominic Costabile
Credential
Provider Entity Type
Individual
Gender
Male
Address
13136 Williamfield Dr, Ellicott City, MD, 21042-1138
Phone Number
443-878-4692
Fax Number
Provider Enumeration Date
04/06/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13136 Williamfield Dr
City
Ellicott City
State
Maryland
Zip
21042-1138
Phone Number
443-878-4692
Fax Number
person
Provider Business Mailing Address Details
Address
13136 Williamfield Dr
City
Ellicott City
State
Maryland
Zip
21042-1138
Phone Number
443-878-4692
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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