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MRS. DANIELLE NICOLE COSTABILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
116 DEFENSE HWY STE 102, ANNAPOLIS, MD 21401-7040
(888) 820-3376
Mailing address
116 DEFENSE HWY STE 501, ANNAPOLIS, MD 21401-7063
(888) 820-3376
(888) 826-4576

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
C0008139
MD
363A00000X
Physician Assistant
Primary
C0008139
MD

Other

Enumeration date
09/21/2021
Last updated
07/08/2025
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