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Contact Information

DEANNE E WILSON COSTELLO, MD
11100 EUCLID AVE
CLEVELAND, OH44106-1716
 Phone: 216-844-7700
 Fax: 216-286-6341
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for DEANNE E WILSON COSTELLO · (Female)

NPI # 1316967284
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2006
Last updated 06/12/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35-067001
  • OH Medicaid 0187444
  • PA Medicaid 0019347280001
  • OH Other 0658025 AETNA
  • OH Other 000000027353 ANTHEM
  • OH Other 000000526173 ANTHEM
  • OH Other 0187444 BCMH
  • OH Other 745987 BUCKEYE
  • OH Other 000000221190 UINISON
  • OH Other 364141 WELLCARE
  • PA Other 1019347280001 PENNSLYVANIA MEDICAID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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