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NPI Code Detail

MEDICARE: ELIZABETH A REID

MEDICARE: ELIZABETH A REID
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianMD

General Provider Information

NPI Number : 1669124947
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A REID
Provider Business Mailing Address
First Line : 4600 POWDER MILL RD STE 250
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-2688
Country : US
Telephone Number : 301-327-5199
Fax Number :
Provider Business Practice Location Address
First Line : 4600 POWDER MILL RD STE 250
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-2688
Country : US
Telephone Number : 301-327-5199
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2022
Last Update Date : 01/19/2022

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Directions to “ ELIZABETH A REID ” Practice Location

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