Gorbaty, Elliott

Gorbaty, Elliott is an sole proprietor health care provider with primary practice located at 1411 Madison Park Dr Suite 2B, Glen Burnie MD 21061-6188. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gorbaty, Elliott can be contacted via phone (410) 553-9571.

Contact Information

Primary practice address
1411 Madison Park Dr Suite 2B Glen Burnie MD 21061-6188
Phone: (410) 553-9571
Fax: (410) 553-9573
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0020094 Maryland
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X D0020094 Maryland

Profile Details

NPI number 1528043049
LBN Legal business name Gorbaty, Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Nov 9th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528043049 NPPES
Maryland MEDICAID 783051300

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