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Individual
CHENCHEN COSTELLOE
Active
Individual
CHENCHEN COSTELLOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101271962
VA
207L00000X
Anesthesiology Physician
279691
MA
208VP0014X
Interventional Pain Medicine Physician
0101271962
VA
Other
Enumeration date
04/26/2016
Last updated
06/20/2022
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