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Individual

ELIJAH CONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
Mailing address
2634 CALVARY RD, BEL AIR, MD 21015-6616
(443) 617-1575

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA200001813
DC

Other

Enumeration date
09/25/2023
Last updated
07/18/2025
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