National Provider Identifier Database

MARK S COSTELLO JR, MD – NPI #1497103550
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.


Contact Information

MARK S COSTELLO JR, MD
169 ASHLEY AVE
ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC29425-8905
Phone: 843-792-8299
Fax:
Website:
Specialty Taxonomy Code
* Otolaryngology 207Y00000X

* Indicates primary specialty

NPI Profile & details for MARK S COSTELLO JR

NPI Number 1497103550
Credentials MD
Entity Individual
Enumeration date 05/31/2016
Last updated 05/31/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • SC License #: MMD.39504 LL
Hospital affiliation n/a

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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