Kellianne Costello
Internal Medicine in New Brunswick, NJ. Individual provider (NPI-1).
NPI number1316640212
StatusActive
Last updated in NPPESOct 5, 2026
Details
- NPI
- 1316640212
- Entity type
- Individual (NPI-1)
- Name
- Kellianne Costello
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2023
- Certification date
- Oct 5, 2026
- Last updated
- Oct 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD493527 | PA | Yes |
Practice location
125 Paterson St Ste 7300New Brunswick, NJ 08901-1962
Phone 732-235-8887
Mailing address
125 Paterson St Ste 7300New Brunswick, NJ 08901-1962
Phone 732-235-8887
Other practice locations
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