Healthcare Provider Details

I. General information

NPI: 1437245040
Provider Name (Legal Business Name): ELIZABETH A. PARKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 06/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 OLD SOLOMONS ISLAND RD STE 303
ANNAPOLIS MD
21401-3870
US

IV. Provider business mailing address

49 OLD SOLOMONS ISLAND RD STE 303
ANNAPOLIS MD
21401-3870
US

V. Phone/Fax

Practice location:
  • Phone: 410-844-8998
  • Fax: 866-251-7548
Mailing address:
  • Phone: 410-844-8998
  • Fax: 866-251-7548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0063988
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberMD036232
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberD0063988
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: