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Contact Information

ELIZABETH A BLANK, MD
497 MAIN ST
STE 200
PRINCE FREDERICK, MD20678-3190
 Phone: 410-414-9840
 Fax: 410-414-9841
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for ELIZABETH A BLANK · (Female)

NPI # 1043366628
Status Active
Credentials MD
Entity Individual
Enumeration date 01/26/2007
Last updated 03/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0082740
Hospital affiliation(s)
  • CALVERT MEMORIAL HOSPITAL - (Acute Care)
    100 HOSPITAL ROAD
    PRINCE FREDERICK, MD 20678
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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