Basic Information
| Provider Information | |||||||||
| NPI: | 1083853717 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | COSTABILE | ||||||||
| FirstName: | CHELCIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | UPMC PHYSICIAN SERVICES | ||||||||
| Address2: | 3600 MEYRAN STREET, SUITE 9055, FORBES TOWER | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15213 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | UPMC HEART AND VASCULAR INSTITUTE | ||||||||
| Address2: | 400 OXFORD DRIVE, SUITE 75 | ||||||||
| City: | MONROEVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123805030 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/19/2009 | ||||||||
| LastUpdateDate: | 03/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | OS016035 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.