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ETHIOPIA TEFERRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2041 GEORGIA AVE NW # 1R84, WASHINGTON, DC 20060-6442
(202) 865-3610
Mailing address
695 DUTCHESS TPKE, SUITE 105, POUGHKEEPSIE, NY 12603-6442
(888) 647-5979
(888) 847-0818

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
268900
NY
2085R0202X
Diagnostic Radiology Physician
D0052417
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD037036
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2849
B/C B/S
DC
05
475461100
MD
01
J062
B/C B/S
MD
01
KA80
B/C B/S
MD
Enumeration date
05/20/2006
Last updated
07/03/2025
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