Susan Tillman Elliott in Washington - Dermatology
Susan Tillman Elliott - NPI 1659306157
Susan Tillman Elliott is a Dermatology in Washington, District Of Columbia. Susan Tillman Elliott practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Susan Tillman Elliott is 1659306157. The last update date is 2019-01-15.
Susan Tillman Elliott's current location address is 4910 Massachusetts Ave.,nw, Washington, District Of Columbia. You can contact this provider via phone number 2026951000 and fax number 2025031791. The mailing address for Susan Tillman Elliott is 4910 Massachusetts Ave.,nw, Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Tillman Elliott |
|---|---|
| Address | 4910 Massachusetts Ave.,nw, Washington, District Of Columbia |
| Phone Number | 2026951000 |
| Fax Number | 2025031791 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1659306157 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2019-01-15 |
Provider Mailing Address Detail
| Address | 4910 Massachusetts Ave.,nw |
|---|---|
| City | Washington |
| State | District Of Columbia (DC) |
| Post Code | 200164382 |
| Phone Number | 2026951000 |
| Fax Number | 2025031791 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 101046205 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 371029 | NCPPO INS | ||
| 4115128 | AETNA INS |
Post Comment/ Review Below
What is the Susan Tillman Elliott's 1659306157?
The Susan Tillman Elliott's NPI (National Provider Identifier) Number is 1659306157. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Susan Tillman Elliott?
The Susan Tillman Elliott is situated at 4910 Massachusetts Ave.,Nw, in the city of Washington, state of DC, with the zip code 200164382.
What is Susan Tillman Elliott's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Tillman Elliott is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.
On what date did Susan Tillman Elliott receive its 1659306157 assignment from the Centers for Medicare & Medicaid Services?
The Susan Tillman Elliott was assigned its 1659306157 on 2006-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Susan Tillman Elliott's details last updated?
The information pertaining to the Susan Tillman Elliott, including its address, specialty, and other details, was most recently updated on 2019-01-15.
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