Individual
DR. RICHARD CRAIG EDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
611 FREDERICK RD, STE 101, CATONSVILLE, MD 21228-4779
(410) 747-1221
Mailing address
8913 GRIFFIN WAY, PIKESVILLE, MD 21208-1424
(410) 602-3126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0787
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410029001
RAILROAD MEDICARE
MD
01
—
69770802
CAREFIRST BCBS
MD
Enumeration date
06/27/2005
Last updated
07/06/2012
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