Provider Demographics
NPI:1881706083
Name:RILEY, ELISE CANFIELD (MD)
Entity type:Individual
Prefix:DR
First Name:ELISE
Middle Name:CANFIELD
Last Name:RILEY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:713 MILESTONE DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2708
Mailing Address - Country:US
Mailing Address - Phone:301-681-7894
Mailing Address - Fax:301-562-5589
Practice Address - Street 1:7987 GEORGIA AVE
Practice Address - Street 2:HOLY CROSS HOSPITAL HEALTH CENTER
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4838
Practice Address - Country:US
Practice Address - Phone:301-754-7473
Practice Address - Fax:301-562-5589
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0053098207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine