Dominic Costabile - Ellicott City, MD

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.

Location: 13136 Williamfield Dr, Ellicott City, MD, 21042-1138

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

Address

13136 Williamfield Dr

City

Ellicott City

State

Maryland

Zip

21042-1138

Phone Number

443-878-4692

Fax Number

Address

13136 Williamfield Dr

City

Ellicott City

State

Maryland

Zip

21042-1138

Phone Number

443-878-4692

Fax Number

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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