Organization
BLUE NILE MEDICAL CENTER PC
Active
Organization
BLUE NILE MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDLA ANBESSIE M.D. (PHYSICIAN)
(703) 845-0700
Entity
Organization
Contact information
Practice address
85 S BRAGG ST, SUITE 100, ALEXANDRIA, VA 22312-2797
(703) 845-0700
(703) 794-2269
Mailing address
85 S BRAGG ST, SUITE 100, ALEXANDRIA, VA 22312-2797
(703) 845-0700
(703) 794-2269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
12/06/2011
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