MEDICARE: MS. ALEXANDRA DEANNE COSTLOW AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	AT006318	PA

General Provider Information

NPI Number	:	1043640592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALEXANDRA DEANNE COSTLOW AUD

Provider Business Mailing Address
First Line	:	925 CHESTNUT STREET
Second Line	:	6TH FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4201
Country	:	US
Telephone Number	:	215-955-6760
Fax Number	:	215-503-3736

Provider Business Practice Location Address
First Line	:	925 CHESTNUT STREET
Second Line	:	6TH FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4201
Country	:	US
Telephone Number	:	215-955-6760
Fax Number	:	215-503-3736

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2013
Last Update Date	:	05/07/2014

Similar Medicare Providers

1972508539 — DR. IRA S COHEN MD
Practice Location Address:

925 CHESTNUT STREET , MEZZANINE FLOOR - JEFFERSON HEART INSTITUTE
PHILADELPHIA, PA
19107-4201

Practice Phone: 215-955-5050
Practice Fax: 215-955-7499

1982572665 — JENNA MARIE CASTELBERG CRNP
Practice Location Address:

925 CHESTNUT ST STE 110
PHILADELPHIA, PA
19107-4201

Practice Phone: 215-503-1918
Practice Fax:

1942148325 — GORDON CONRAD ANTHONY ERB PA-C
Practice Location Address:

925 CHESTNUT ST STE 110
PHILADELPHIA, PA
19107-4201

Practice Phone: 215-955-6996
Practice Fax: 215-955-1122

1831181429 — MRS. ROBIN ANNETTE EADDY WHEELER PHARMD
Practice Location Address:

4201 N BROAD ST , WALGREENS PHARMACY #04115
PHILADELPHIA, PA
19140-3019

Practice Phone: 215-457-3877
Practice Fax: 215-457-3363

1033124029 — WALGREEN EASTERN CO INC
Practice Location Address:

4201 N BROAD ST
PHILADELPHIA, PA
19140-3019

Practice Phone: 215-457-3877
Practice Fax: 215-457-3363

1306949250 — REGINA KELLY-HARTSHORNE NP
Practice Location Address:

4201 HENRY AVE
PHILADELPHIA, PA
19144-5409

Practice Phone: 215-951-2986
Practice Fax: 215-951-6867

Directions to “ MS. ALEXANDRA DEANNE COSTLOW AUD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.