ALLEN MICHAEL BLACKBURN COSTA

ALEXANDRIA, VA
NPI1740690924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207W00000X Ophthalmology
(Licence: VA  0101289286)
Enumeration Date2014-04-28
Last Update Date2026-07-14
Business Address
ALLEN MICHAEL BLACKBURN COSTA MD
411 N WASHINGTON ST
ALEXANDRIA, VA 22314-2311
Phone number: 703-548-5588
Mailing Address
ALLEN MICHAEL BLACKBURN COSTA MD
2661 RIVA RD STE 1030
ANNAPOLIS, MD 21401-7131
Phone number: 667-354-5528
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