Healthcare Provider Details

I. General information

NPI: 1982938155
Provider Name (Legal Business Name): ELIZABETH MARIE POLFER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2009
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4954 NORTH PALMER ROAD AMERICA BUILDING, SECOND FLOOR, ROOM 2157
BETHESDA MD
20889-5630
US

IV. Provider business mailing address

4954 NORTH PALMER ROAD AMERICA BUILDING, SECOND FLOOR, ROOM 2157
BETHESDA MD
20889-5630
US

V. Phone/Fax

Practice location:
  • Phone: 301-400-2964
  • Fax: 301-319-7081
Mailing address:
  • Phone: 301-400-2964
  • Fax: 301-319-7081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberS0775
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberS0775
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: