Individual
DR. ELIZABETH FASIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3595
(301) 552-8118
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 546-6400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0060925
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408046700
—
MD
Enumeration date
06/09/2006
Last updated
10/12/2020
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