Search › Massachusetts › 1041C0700X
Jacqueline Costello
NPI 1578439386 · on the registry since 2025
Practice
- Address
- 1340 Soldiers Field Rd Ste 1-112
Boston, MA 02135 - Phone
- (617) 334-7393
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts