Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D32843 | MD |
N | 111NI0900X | Internist | D32843 | MD |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | D32843 | MD |
N | 207SG0201X | Clinical Genetics (M.D.) | D32843 | MD |
NPI | 1598726333 |
---|---|
Provider Name | Elizabeth Anne Streeten |
First Address | Baltimore, MD 21264-4442 |
Second Address | Baltimore, MD 21201-4606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 15/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E39422 | (02) | MD |