THEODORE GERARD COSTICH

WILLIAMSVILLE, NY
NPI1245331818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: NY  187420)
Enumeration Date2006-09-26
Last Update Date2009-09-04
Business Address
Dr. THEODORE GERARD COSTICH M.D.
41 MAPLE RD
WILLIAMSVILLE, NY 14221-2918
Phone number: 716-631-1045
Mailing Address
Dr. THEODORE GERARD COSTICH M.D.
41 MAPLE RD
WILLIAMSVILLE, NY 14221-2918
Phone number: 716-631-1045
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