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Organization

INTEGRATED MEDICAL CARE AND REHAB.,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABRAHAM YIMER ASMAMAW M.D. (PRESIDENT)
(703) 820-8050
Entity
Organization

Contact information

Practice address
4600 KING STREET, SUITE 4R, ALEXANDRIA, VA 22302
(703) 820-8050
(703) 820-8720
Mailing address
PO BOX 11529, ALEXANDRIA, VA 22312-0529
(703) 820-8050
(703) 820-8720

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101223994
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
0101223994
VA

Other

Enumeration date
03/28/2007
Last updated
04/01/2008
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