Individual
DR. FEKADE TEFERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 E 96TH ST, BROOKLYN, NY 11236-3903
(718) 874-7095
(718) 233-3464
Mailing address
148 CRESCENT AVE, EAST BRUNSWICK, NJ 08816-5416
(732) 251-2048
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
224113
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01702978
—
NY
Enumeration date
06/29/2006
Last updated
10/03/2013
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