Individual
ENDESHAW HABTESILASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 CHEW ST STE 101, ALLENTOWN, PA 18102-3434
(610) 776-4888
Mailing address
450 CHEW ST STE 101, ALLENTOWN, PA 18102-3434
(610) 776-4888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT230317
PA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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