Individual
ELIZABETH TALOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3111
Mailing address
PO BOX 75567, BALTIMORE, MD 21275-5567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840545
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00356980
RAILROAD MEDICARE
VA
Enumeration date
03/10/2006
Last updated
07/18/2007
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