Dr. Cynthia Lou Costenbader, M.D.
Pediatrics in Springfield, VA. Individual provider (NPI-1).
NPI number1295948933
StatusActive
Last updated in NPPESMay 3, 2022
Details
- NPI
- 1295948933
- Entity type
- Individual (NPI-1)
- Name
- Dr. Cynthia Lou Costenbader
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2007
- Certification date
- May 3, 2022
- Last updated
- May 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 0101036748 | VA | Yes |
Practice location
8136 Old Keene Mill Rd Ste A309Springfield, VA 22152-1853
Phone 703-569-8021 · Fax 703-569-8123
Mailing address
Dept. 453 Po Box 1000Memphis, TN 38148-0001
Phone 828-575-2625 · Fax 828-350-2174
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