Individual
JEFFREY SCOTT ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-5095
(301) 319-3478
Mailing address
8901 ROCKVILLE PIKE, BETHESDA, MD 20889-5095
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101273195
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101273195
—
VA
Enumeration date
01/24/2020
Last updated
08/29/2024
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