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Contact Information

VINCENT J COSTELLA, PAC
3511 W MARKET ST STE 250
GREENSBORO, NC27403-4445
 Phone: 336-852-3800
 Fax: 336-852-5725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for VINCENT J COSTELLA · (Male)

NPI Number 1336503036
Status Active
Credentials PAC
Entity Individual
Enumeration date 04/08/2016
Last updated 06/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-06358
Hospital affiliation(s)
  • MOSES H CONE MEMORIAL HOSPITAL THE - (Acute Care)
    1200 N ELM ST
    GREENSBORO, NC 27401
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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