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Individual

DR. EYOB L FEYSSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH, FACP

Contact information

Practice address
5401 OLD YORK RD, KLEIN SUITE 505, PHILADELPHIA, PA 19141-3030
(215) 456-8242
(215) 456-8058
Mailing address
5401 OLD YORK RD, KLEIN SUITE 505, PHILADELPHIA, PA 19141-3030
(215) 456-8242
(215) 456-8058

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD430800
PA
207RG0100X
Gastroenterology Physician
MD430800
PA
207RI0008X
Hepatology Physician
25MA08117400
NJ
207RI0008X
Hepatology Physician
M5704
TX
207RI0008X
Hepatology Physician
MD430800
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101978752
PA
Enumeration date
01/25/2007
Last updated
03/22/2021
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