Costella, Gerard Anthony

Costella, Gerard Anthony is an individual health care provider with primary practice located at 171 N Main St , Suffolk VA 23434-4507. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Costella, Gerard Anthony can be contacted via phone (757) 934-0768.

Contact Information

Primary practice address
171 N Main St Suffolk VA 23434-4507
Phone: (757) 934-0768
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103301198 Virginia

Profile Details

NPI number 1437692530
LBN Legal business name Costella, Gerard Anthony
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2016
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437692530 NPPES
New Jersey Other 1437692530 NPI

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