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Contact Information

LISA COSTELLO, APN
100 K JOHNSON BLVD N.
2ND FLOOR
BORDENTOWN TOWNSHIP, NJ08505
 Phone: 609-528-8884
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LISA COSTELLO · (Female)

NPI # 1174085435
Status Active
Credentials APN
Entity Individual
Enumeration date 04/04/2019
Last updated 04/26/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 26NJ00900700
Hospital affiliation(s)
  • CAPITAL HEALTH MEDICAL CENTER - HOPEWELL - (Acute Care)
    ONE CAPITAL WAY
    PENNINGTON, NJ 08534
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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