Individual
EDITH CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 W RIDGELY RD STE A, TIMONIUM, MD 21093-5135
(443) 274-5368
(410) 252-4590
Mailing address
3203 GIBBONS AVE, BALTIMORE, MD 21214-2657
(828) 506-0947
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A0001110
MD
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
J3-0000776
DE
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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