Individual
COSTA GEORGE SOTEROPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411-B PARK HILL DR, FREDERICKSBURG, VA 22401
(703) 914-8000
Mailing address
11350 MCCORMICK ROAD, EXECUTIVE PLAZA I, SUITE 501, HUNT VALLEY, MD 21031
(410) 329-1071
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101252134
VA
208VP0014X
Interventional Pain Medicine Physician
0101252134
VA
Other
Enumeration date
05/19/2008
Last updated
07/26/2021
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