Individual
ELLEN L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18101 PRINCE PHILIP DR, OLNEY, MD 20832-1514
(301) 774-8900
(301) 570-8574
Mailing address
1300 PICCARD DR, SUITE 202, ROCKVILLE, MD 20850-4303
(301) 921-7900
(301) 921-7915
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0043536
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022
CAREFIRST
—
05
—
192051100
—
MD
Enumeration date
10/17/2005
Last updated
07/21/2022
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