Healthcare Provider Details
I. General information
NPI: 1427006931
Provider Name (Legal Business Name): ELIZABETH MARIE ADAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 05/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8901 WISCONSIN AVENUE RHEUMATOLOGY CLINIC, NNMC
BETHESDA MD
20089-5600
US
IV. Provider business mailing address
6700B ROCKLEDGE DR. RM 5127
BETHESDA MD
20892-0001
US
V. Phone/Fax
- Phone: 301-295-4512
- Fax: 301-295-5218
- Phone: 301-435-3730
- Fax: 301-402-3684
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 204D00000X |
| Taxonomy | Neuromusculoskeletal Medicine & OMM Physician |
| License Number | D43434 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: