Provider Demographics
NPI:1184775025
Name:SEQUEIRA, ELIZABETH CURTIN (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:CURTIN
Last Name:SEQUEIRA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10703 CAVALIER DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1624
Mailing Address - Country:US
Mailing Address - Phone:301-681-9447
Mailing Address - Fax:301-681-9447
Practice Address - Street 1:1 DISCOVERY PL
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3354
Practice Address - Country:US
Practice Address - Phone:240-662-2273
Practice Address - Fax:240-662-1909
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0050081207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G62518Medicare UPIN