Individual
MR. JAMES ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3595
(301) 552-8118
Mailing address
PO BOX 1020, GREENBELT, MD 20768-1020
(301) 498-2922
(301) 498-3074
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0043864
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117850400
—
MD
Enumeration date
06/12/2006
Last updated
01/25/2012
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