Organization
ELIZABETH A. LIOTTA, M.D.,L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANN LIOTTA M.D. (ATTENDING PHYSICIAN)
(301) 668-3004
Entity
Organization
Contact information
Practice address
77 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702-4893
(301) 668-3004
(301) 668-3005
Mailing address
77 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702-4893
(301) 668-3004
(301) 668-3005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0046908
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BLUE CROSS/BLUE SHIELD DC
DC
01
—
349576
UNITED HEALTHCARE
MD
01
—
3951050
AETNA HMO
MD
01
—
5384008
AETNA PPO
MD
01
—
61563304
BLUE CROSS/BLUE SHIELD MD
MD
01
—
6999637
CIGNA
MD
01
—
930BEA
BLUE CROSS/BLUE SHIELD MD
MD
01
—
G02088
MEDICARE OF DC
DC
01
—
G02088E01
MEDICARE OF DC
DC
01
—
K614
BLUE CROSS/BLUE SHIELD DC
DC
Enumeration date
10/15/2007
Last updated
03/18/2008
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