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Individual

DR. WONDU TADDESSE WOSSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
14333 LAUREL BOWIE RD, SUITE 206, LAUREL, MD 20708-1126
(301) 362-0506
(301) 362-0213
Mailing address
14333 LAUREL BOWIE RD, SUITE 206, LAUREL, MD 20708-1126
(301) 362-0506
(301) 362-0213

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D41251
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
649741100
MD
Enumeration date
05/16/2006
Last updated
10/04/2011
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