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Individual

SELAMAWIT GETACHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2912
(410) 550-9720
Mailing address
PO BOX 632015, BALTIMORE, MD 21263-2015
(888) 834-7110

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C0001215
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022004300
MD
05
405122000
MD
Enumeration date
06/22/2006
Last updated
02/04/2008
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