Individual
ELIZABETH BENTIVOGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-6002
(301) 230-1927
Mailing address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-6002
(301) 230-1927
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C01837
MD
Other
Enumeration date
08/31/2005
Last updated
10/09/2019
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