Individual
ELIZABETH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-8000
Mailing address
14504 GOLDEN EAGLE CT, BURTONSVILLE, MD 20866-1920
(301) 537-6737
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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