Individual
MR. ADANE NEGUSSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4940 EASTERN AVE, 301 BUILDING, SUITE 2100, BALTIMORE, MD 21224-2735
(410) 550-7918
(410) 550-0748
Mailing address
4940 EASTERN AVE, 301 BUILDING, SUITE 2100, BALTIMORE, MD 21224-2735
(410) 550-7918
(410) 550-0748
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003905
MD
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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