Individual
RON ELFENBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 350-3509
(410) 350-3511
Mailing address
7023 CHESAPEAKE HARBOUR DR E, ANNAPOLIS, MD 21403-7603
(410) 990-0036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D60177
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223665638
CHAMPUS/TRICARE
MD
Enumeration date
05/28/2006
Last updated
03/04/2010
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