Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | MD18865 | DC |
N | 2080P0201X | Pediatric Allergist | MD18865 | DC |
NPI | 1619086667 |
---|---|
Provider Name | Elena R Reece |
First Address | Washington, DC 20060-0001 |
Second Address | Washington, DC 20060-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 21/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007604351 | (05) | VA |
011206500 | (05) | DC |
421371800 | (05) | MD |
G42017 | (02) |