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Individual

MS. ELIZABETH S GANTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9420 KEY WEST, SUITE 202, ROCKVILLE, MD 20850
(301) 251-9555
(301) 309-0765
Mailing address
PO BOX 37229, BALTIMORE, MD 21297
(240) 485-5200
(301) 625-6906

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D41612
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
751141800
MD
Enumeration date
06/22/2005
Last updated
03/01/2013
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