Individual
DR. ELISA IGNATIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.SC.
Contact information
Practice address
1717 E MONUMENT ST, BALTIMORE, MD 21287-0027
(410) 614-5611
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-6421
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D86142
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D86142
STATE LICENSE
MD
Enumeration date
04/11/2013
Last updated
11/08/2018
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