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Individual

MEGAN P KOSTIBAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1800 ORLEANS ST FL 9, BALTIMORE, MD 21287-0010
(410) 955-9080
(410) 955-0036
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D78237
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115472900
MD
Enumeration date
03/28/2010
Last updated
07/21/2022
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