Edward Paul Costlow Jr. (NPI# 1275664450, PAC ID# 2961723887) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1275664450 |
PAC ID by PECOS | 2961723887 |
Professional Enrollment ID | I20150604000502 |
Full Name | Edward Paul Costlow Jr. |
Address |
10 Gerard Ave Suite 214 Timonium MD 21093-3206 |
Gender | M |
Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1975 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210044 | GREATER BALTIMORE MEDICAL CENTER |
210056 | MEDSTAR GOOD SAMARITAN HOSPITAL |
Address | Phone | Organization |
---|---|---|
10 Gerard Ave, Suite 214, Timonium, MD 21093-3206 |
Street Address |
10 GERARD AVE SUITE 214 |
City | TIMONIUM |
State | MD |
Zip | 21093-3206 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ditte C Moeller | Clinical Social Worker | Therapeutic Soulutions Inc | 10 Gerard Ave, Suite 210, Timonium, MD 21093-3206 |
Paola A Sansur | Psychiatry | Therapeutic Soulutions Inc | 10 Gerard Ave, Suite 210, Timonium, MD 21093-3206 |
Aaron Reichel | Clinical Social Worker | Therapeutic Soulutions Inc | 10 Gerard Ave, Suite 210, Timonium, MD 21093-3206 |
Elizabeth Hughes | Nurse Practitioner | Therapeutic Soulutions Inc | 10 Gerard Ave, Timonium, MD 21093-3206 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jacob Wynes | Podiatry | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
Christina M. Penny | Physical Therapy | Gbmc Wp Pt | Galleria Towers 1447 York Rd, 401 Active Life Pt, Lutherville, MD 21093 |
Kristen B Rose | Nurse Practitioner | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
Joshua M Abzug | Orthopedic Surgery | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
Kyle H Yost | Family Medicine | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
Debby L Taylor | Nurse Practitioner | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
Kendall L Buraimoh | Physical Medicine and Rehabilitation | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
Jenna M Levy | Physician Assistant | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
James Neal Hicks Jr. | Physical Therapy | Gbmc Wp Pt | Galleria Towers 1447 York Rd, 401 Active Life Pt, Lutherville, MD 21093 |
Vincent Y Ng | Orthopedic Surgery | University of Maryland Orthopaedic Associates, Pa | One Texas Station 3rd Floor, Baltimore, MD 21093 |
Find all physicians in zip 21093 |
City | TIMONIUM |
Zip Code | 21093 |
Specialty | INTERNAL MEDICINE |
City + Specialty | TIMONIUM + INTERNAL MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.