Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD044405 | DC |
NPI | 1104153105 |
---|---|
Provider Name | Dr. Jacob Matt Elkon |
First Address | Arlington, VA 22209-1419 |
Second Address | Washington, DC 20037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2009 |
Last Update Date | 01/04/2019 |