Search › Maryland › 207Q00000X
Michael Costello, MD
NPI 1740250125 · on the registry since 2006
Practice
- Address
- 22911 Jefferson Blvd
Smithsburg, MD 21783 - Phone
- (301) 824-3343
- Organisation at this address
- Medical Practices Of Antietam Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 1564 Opossumtown Pike, Frederick, MD
- 1562 Opossumtown Pike, Frederick, MD
- 194 Thomas Johnson Dr Ste A, Frederick, MD
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-25
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 Maryland