Costenbader, Cynthia Lou

Costenbader, Cynthia Lou is an individual health care provider with primary practice located at 8136 Old Keene Mill Rd Ste A309 , Springfield VA 22152-1853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Costenbader, Cynthia Lou can be contacted via phone (703) 569-8021.

Contact Information

Primary practice address
8136 Old Keene Mill Rd Ste A309 Springfield VA 22152-1853
Phone: (703) 569-8021
Fax: (703) 569-8123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101036748 Virginia

Profile Details

NPI number 1295948933
LBN Legal business name Costenbader, Cynthia Lou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated May 3rd, 2022 - about 4 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 1295948933 NPPES
Maryland MEDICAID 799347100
Maryland MEDICAID 1295948933
Maryland Other 231477ZRGM

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