National Provider Identifier
Theodore Gerard Costich, M.D.
Theodore Gerard Costich, M.D. is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Williamsville, NY and a listed phone number of (716) 631-1045.
Profile Overview
- NPI
- 1245331818
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- September 26, 2006
- Last Updated
- September 04, 2009
Practice Location
- 41 Maple RD
- Williamsville, NY 14221-2918
Phone: (716) 631-1045
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1245331818
- Entity Type
- Individual
- Last Name
- Costich
- First Name
- Theodore
- Middle Name
- Gerard
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 41 Maple RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2918
- Mailing Country
- US
- Mailing Phone
- (716) 631-1045
- Mailing Fax
- (716) 631-1365
- Practice Street Address
- 41 Maple RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-2918
- Practice Country
- US
- Practice Phone
- (716) 631-1045
- Practice Fax
- (716) 631-1365
- Enumeration Date
- September 26, 2006
- Last Updated
- September 04, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)
- Other Identifiers
- 01406720 (NY), 10109001 (NY, Fidelis Provider #), 00020006503 (NY, Univera Healthcare Provid), 0709667 (NY, Independent Health Provid), 005250881 (NY, Bc/Bs Ofwny Provider #)