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Organization

CORRECTIONAL MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASRESAHEGN GETACHEW M.D. (STATEWIDE MEDICAL DIRECTOR)
(410) 872-8590
Entity
Organization

Contact information

Practice address
7943 BROCK BRIDGE RD, JESSUP, MD 20794-9704
(410) 379-3873
Mailing address
7816 FOXFARM LN, GLEN BURNIE, MD 21061-6321
(443) 749-4843

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
D0058537
MD

Other

Enumeration date
07/29/2009
Last updated
07/30/2009
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