Costlow, Edward P

Costlow, Edward P is an individual health care provider with primary practice located at 10 Gerard Ave 214, Timonium MD 21093-3206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Costlow, Edward P can be contacted via phone (410) 561-1585.

Contact Information

Primary practice address
10 Gerard Ave 214 Timonium MD 21093-3206
Phone: (410) 561-1585
Fax: (410) 252-0814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D19503 Maryland

Profile Details

NPI number 1275664450
LBN Legal business name Costlow, Edward P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275664450 NPPES
Other 41227801 BLUE SHIELD
Other 409013902 BLUE SHIELD

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