Individual
TASSIA C KOSTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2510 GASKINS RD, RICHMOND, VA 23238
(804) 282-4940
(804) 824-9412
Mailing address
2510 GASKINS RD, HENRICO, VA 23238-1481
(804) 282-4940
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101262273
VA
Other
Enumeration date
05/30/2013
Last updated
06/26/2018
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