Individual
DR. ELLIOTT GORBATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 MADISON PARK DR, SUITE 2B, GLEN BURNIE, MD 21061-6188
(410) 553-9571
(410) 553-9573
Mailing address
1411 MADISON PARK DR, SUITE 2B, GLEN BURNIE, MD 21061-6185
(410) 553-9571
(410) 553-9573
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0020094
MD
207RP1001X
Pulmonary Disease Physician
D0020094
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
783051300
—
MD
Enumeration date
12/07/2005
Last updated
11/09/2009
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