Provider Demographics
NPI:1104051945
Name:CLAYTON, ELIZABETH SMELTER (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SMELTER
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:KRISTINE
Other - Last Name:SMELTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:505 DUTCHMANS LN
Mailing Address - Street 2:SUITE A2
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-4302
Mailing Address - Country:US
Mailing Address - Phone:410-819-6545
Mailing Address - Fax:410-819-6750
Practice Address - Street 1:505 DUTCHMANS LN
Practice Address - Street 2:SUITE A2
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-4302
Practice Address - Country:US
Practice Address - Phone:410-819-6545
Practice Address - Fax:410-819-6750
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-22
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0077360207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology