Individual
ELISABETH G RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10753 FALLS RD, SUITE 355, PAVILION II, LUTHERVILLE, MD 21093-4535
(410) 847-3700
Mailing address
10753 FALLS RD, SUITE 355, PAVILION II, LUTHERVILLE, MD 21093-4535
(410) 847-3700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D62684
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408272900
—
MD
Enumeration date
05/24/2006
Last updated
04/03/2015
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