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Individual

TEA RAMISHVILI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 HYGEIA DR, SUITE 2100, NEWARK, DE 19713-2049
(302) 623-0188
(302) 623-0554
Mailing address
200 HYGEIA DR, CCHS PHYSICIAN CONTRACTING - SUITE 2300, NEWARK, DE 19713-2049

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301101418
MI
207R00000X
Internal Medicine Physician
Primary
C1-0011142
DE

Other

Enumeration date
12/30/2011
Last updated
10/23/2014
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