Kent Costello, PA

NPI 1992272033 · on the registry since 2018 · sole proprietor

Practice

Address: 195 Pleasant St Unit 5
Bradford, PA 16701
Phone: (814) 362-5701
Fax: (814) 362-5702
Organisation at this address: General Physician, Pc
Dr Peter Vaccaro Md Osm
Quality Care Internal Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363A00000X
Licence states on file: NY, PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-06-17

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 Pennsylvania