Individual
GEOFFREY B KOSTINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101056471
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010131561
—
VA
01
—
174990
ANTHEM
VA
01
—
340014547
RR/MEDICARE
—
Enumeration date
09/01/2005
Last updated
03/29/2023
Update your record
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