Organization
FEKADE TEFERA PHYSICIAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEKADE TEFERA M.D. (PRESIDENT)
(732) 251-2048
Entity
Organization
Contact information
Practice address
1222 E 96TH ST, BROOKLYN, NY 11236-3903
(718) 874-7095
Mailing address
148 CRESCENT AVE, EAST BRUNSWICK, NJ 08816-5416
(732) 251-2048
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01702978
—
NY
Enumeration date
01/22/2007
Last updated
03/26/2008
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