Organization
GRACEWAY HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDISU M. TEMESGEN MD (MD)
(410) 435-9073
Entity
Organization
Contact information
Practice address
10259 CABERY RD, ELLICOTT CITY, MD 21042-1605
(410) 870-9380
Mailing address
115 E MELROSE AVE, BALTIMORE, MD 21212-2945
(410) 435-9073
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/27/2026
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