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Individual

ANGELA COSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 224-4635
(540) 985-9099
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102204498
VA
208000000X
Pediatrics Physician
76794
GA

Other

Enumeration date
04/22/2014
Last updated
05/07/2026
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