Individual
DR. JENALEE NICOLE COSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5855 BREMO RD STE 506, RICHMOND, VA 23226-1925
(804) 287-7929
(804) 281-8372
Mailing address
PO BOX 639969, CINCINNATI, OH 45263-9969
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A131322
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101280632
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
A131322
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD474782
PA
Other
Enumeration date
03/29/2012
Last updated
03/20/2024
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