Individual
DR. JEFFREY S COSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4660 KENMORE AVE STE 608, ALEXANDRIA, VA 22304-1306
(703) 379-0700
(703) 578-4161
Mailing address
224D CORNWALL ST NW STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0101000719
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
0103000719
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801883202
—
VA
05
—
30016109850001
—
VA
Enumeration date
09/30/2005
Last updated
10/04/2023
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