Organization
EDWARD P. COSTLOW, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD P. COSTLOW MD PA (PRESIDENT)
(410) 561-1585
Entity
Organization
Contact information
Practice address
10 GERARD AVENUE, SUITE 214, TIMONIUM, MD 21093-3206
(410) 561-1585
(410) 252-0814
Mailing address
10 GERARD AVENUE, SUITE 214, TIMONIUM, MD 21093-3206
(410) 561-1585
(410) 252-0814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0019503
MD
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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