Individual
ELISE SARA GELWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 N BROADWAY ST, BALTIMORE, MD 21287
(410) 955-3580
(410) 550-0075
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(860) 972-2249
(860) 545-2204
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
065159
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D84534
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
01/21/2026
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