Individual provider · NPI-1

Edward P Costlow, MD

Internal Medicine · Timonium, MD

NPI number1275664450
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1275664450
Entity type
Individual (NPI-1)
Name
Edward P Costlow
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineD19503MDYes

Other names

  • Edward P Costlow (Professional Name)

Practice location

10 Gerard Ave
214
Timonium, MD 21093-3206

Phone 410-561-1585 · Fax 410-252-0814

Mailing address

10 Gerard Ave
214
Timonium, MD 21093-3206

Phone 410-561-1585 · Fax 410-252-0814

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