Individual
GEOFFREY B KOSTINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
860 OMNI BLVD, SUITE # 205, NEWPORT NEWS, VA 23606-4237
(757) 873-2562
(757) 873-2570
Mailing address
860 OMNI BLVD STE 128, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
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
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