Individual
DR. ELGUSTUS POLITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1750 E FAIRMOUNT AVE, BALTIMORE, MD 21231-1534
(443) 801-5612
Mailing address
1750 E. FAIRMOUNT AVENUE, BALTIMORE, MD 21231-1534
(443) 801-5612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05895
MD
235Z00000X
Speech-Language Pathologist
5396
SC
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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