Individual
GIRMAY HAILE TEKLEYOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1339
(570) 271-6440
(570) 271-6602
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35. 091188
OH
208000000X
Pediatrics Physician
MD452613
PA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD452613
PA
Other
Enumeration date
05/19/2008
Last updated
08/26/2020
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