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Individual

DANIEL TSIGE TAMERAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-5950
Mailing address
5815 PRATT CT, ALEXANDRIA, VA 22310-1890
(240) 476-1069

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C05298
MD

Other

Enumeration date
01/28/2014
Last updated
07/24/2021
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