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NPI Code Detail

MEDICARE: ELIZABETH ANNE STREETEN MD

MEDICARE: ELIZABETH ANNE STREETEN MD
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
1207R00000XInternal Medicine PhysicianD32843MD
2207SG0201XClinical Genetics (M.D.) PhysicianD32843MD
3207RE0101XEndocrinology, Diabetes & Metabolism PhysicianD32843MD

General Provider Information

NPI Number : 1598726333
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE STREETEN MD
Provider Business Mailing Address
First Line : PO BOX 64442
Second Line :
City : BALTIMORE
State : MD
Zip : 21264-4442
Country : US
Telephone Number : 410-328-8040
Fax Number : 443-462-3514
Provider Business Practice Location Address
First Line : 827 LINDEN AVE
Second Line : FLOOR 2 SOUTH
City : BALTIMORE
State : MD
Zip : 21201-4606
Country : US
Telephone Number : 443-682-6800
Fax Number : 443-552-2991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 09/15/2020

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Directions to “ ELIZABETH ANNE STREETEN MD” Practice Location

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