Organization · NPI-2

Elman Retina Group PA

Ophthalmology, Retina Specialist · Glen Burnie, MD

NPI number1114890233
StatusActive
Last updated in NPPESSep 25, 2025

Details

NPI
1114890233
Entity type
Organization (NPI-2)
Legal business name
Elman Retina Group PA
Organization subpart
Yes
Enumeration date
Sep 25, 2025
Certification date
Sep 25, 2025
Last updated
Sep 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207WX0107X Ophthalmology, Retina Specialist––Yes
207WX0108X Ophthalmology, Uveitis and Ocular Inflammatory Disease––

Practice location

7671 Quarterfield Rd Ste 100
Glen Burnie, MD 21061-4422

Phone 410-686-3000

Mailing address

9114 Philadelphia Rd Ste 310
Baltimore, MD 21237-4350

Phone 410-686-3000

Authorized official

Ashley Munker
Billing Manager
4106863000

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