Edward P. Costlow, MD PA

NPI #1104205764 in Timonium, Maryland

Provider Information

NPI Number: 1104205764
Entity Type: Organization
Organization Name: Edward P. Costlow, MD PA
Primary Specialty: Internal Medicine
Enumeration Date: May 28, 2015
Last Updated: May 28, 2015

Practice Location

Address: 10 GERARD AVENUE
Address 2: SUITE 214
City: Timonium
State: Maryland
ZIP Code: 21093-3206
Phone: (410) 561-1585

Authorized Official

Name: DR. EDWARD P. COSTLOW, MD PA
Title: PRESIDENT
Phone: (410) 561-1585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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