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Gillian Costa, MD
Military Health Care Provider in Virginia Beach, Virginia
NPI 1639754740

Gillian Costa is a Military Health Care Provider based in Virginia Beach, VA. Gillian Costa practices in Virginia Beach, VA and has the professional credentials of MD. The NPI Number for Gillian Costa is 1639754740 and holds a License No. (Virginia).

The current practice location address for Gillian Costa is Cag 1, Virginia Beach, VA and can be reached out via phone at 757-953-3933.

Location: Cag 1, Virginia Beach, VA, 23460-2227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639754740
Provider Name
Gillian Costa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Cag 1, Virginia Beach, VA, 23460-2227
Phone Number
757-953-3933
Fax Number
Provider Enumeration Date
03/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Cag 1
City
Virginia Beach
State
Virginia
Zip
23460-2227
Phone Number
757-953-3933
Fax Number
person
Provider Business Mailing Address Details
Address
Cag 1
City
Virginia Beach
State
Virginia
Zip
23460-2227
Phone Number
757-953-3933
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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