Individual
DR. GERARD ANTHONY COSTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
171 N MAIN ST, SUFFOLK, VA 23434-4507
(757) 934-0768
Mailing address
171 N MAIN ST, SUFFOLK, VA 23434-4507
(757) 934-0768
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301198
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437692530
NPI
NJ
Enumeration date
11/22/2016
Last updated
09/12/2025
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