Individual
ELIZABETH PARK TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
950 E SWAN CREEK RD, FORT WASHINGTON, MD 20744-5250
(301) 373-7900
(301) 373-6900
Mailing address
PO BOX 640, HOLLYWOOD, MD 20636-0640
(301) 373-7900
(301) 373-6900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D91656
MD
207R00000X
Internal Medicine Physician
LP03517
RI
Other
Enumeration date
06/23/2015
Last updated
12/01/2021
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