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Individual

DR. TESSIE WAZEERAH OCTOBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
(202) 476-5724
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
(202) 476-5724

Taxonomy

Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
MD33885
DC
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD33885
DC

Other

Enumeration date
11/06/2006
Last updated
11/09/2015
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