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Individual

ELIZABETH L ISELIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 281-8222
(804) 281-8007
Mailing address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 281-8222
(804) 281-8007

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101242518
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116016340
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C09463
GROUP PTAN
VA
Enumeration date
06/06/2007
Last updated
01/05/2011
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