Provider Demographics
NPI:1043342769
Name:DOLE, ELIZABETH C (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:C
Last Name:DOLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:JOHNS HOPKINS HOSPITAL PATHOLOGY BLDG RM B106
Mailing Address - Street 2:600 N. WOLFE ST
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0012
Mailing Address - Country:US
Mailing Address - Phone:410-955-3765
Mailing Address - Fax:410-955-3016
Practice Address - Street 1:3417 GASTON AVE STE 630
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2030
Practice Address - Country:US
Practice Address - Phone:469-800-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0071675207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology