HomeNPI Verification

NPI Verification

National Provider Identifier: 1285851337

Frederick M Costello, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Interventional Cardiology

Code: 207RI0011X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine, Interventional Cardiology

Code: 207RI0011X

Primary

Practice Address

8854 W EMERALD ST STE 260

BOISE, ID 837044860

Phone: 208-398-4306

NPI Enumeration Date

April 19, 2007

NPI Number

1285851337

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry