Provider Demographics
NPI:1255340261
Name:COSTER, TRINKA SUSAN (MD)
Entity type:Individual
Prefix:DR
First Name:TRINKA
Middle Name:SUSAN
Last Name:COSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10513 STABLE LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3867
Mailing Address - Country:US
Mailing Address - Phone:301-299-1382
Mailing Address - Fax:
Practice Address - Street 1:1434 PORTER STREET
Practice Address - Street 2:BARQUIST ARMY HEALTH CARE FACILITY
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-319-7208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG76367207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine