Organization
KP AESTHETICS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN COSTALAS M.D. (OWNER)
(484) 420-4094
Entity
Organization
Contact information
Practice address
4675 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-2227
(484) 420-4094
Mailing address
4675 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-2227
(484) 420-4094
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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