Individual
TAYLOR ELIZABETH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1562 OPOSSUMTOWN PIKE, FREDERICK, MD 21702-4920
(301) 662-8477
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(401) 338-4202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007168
MD
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/23/2019
Last updated
06/02/2022
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