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Individual

DR. RONALD MICHAEL COSTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2501 CALVERT ST NW, SUITE 101, WASHINGTON, DC 20008-2620
(202) 232-2121
Mailing address
3235 KLINGLE RD NW, WASHINGTON, DC 20008-3404
(202) 232-2121

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD6151
DC

Other

Enumeration date
05/24/2007
Last updated
07/08/2007
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