Provider Demographics
NPI:1235491721
Name:FOJTIK, ELIZABETH NORA (MD)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:NORA
Last Name:FOJTIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:NORA
Other - Last Name:JOVANOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:120 WILLIAM PENN PLZ
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2150
Mailing Address - Country:US
Mailing Address - Phone:919-281-1836
Mailing Address - Fax:919-313-1276
Practice Address - Street 1:1236 HUFFMAN MILL RD STE 1300
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8700
Practice Address - Country:US
Practice Address - Phone:336-584-5544
Practice Address - Fax:336-584-4436
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-00301208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation