Individual
DR. ELLIOTT N EXAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14516 PARKGATE DR, LAUREL, MD 20707-3128
(410) 955-9441
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
200000785
NC
207RP1001X
Pulmonary Disease Physician
Primary
D0080714
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
818062800
—
MD
05
—
89126P2
—
NC
Enumeration date
10/04/2006
Last updated
11/11/2024
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