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Organization

ETHIO-AMERICAN HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAIGE SMITH (BILLING MANAGER)
(301) 509-4091
Entity
Organization

Contact information

Practice address
4515 14TH ST NW, WASHINGTON, DC 20011-4358
(202) 607-1763
Mailing address
PO BOX 21425, WASHINGTON, DC 20009-0925
(202) 607-1763

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD034563
DC
207RI0200X
Infectious Disease Physician
MD034616
DC
208000000X
Pediatrics Physician
MD035167
DC

Other

Enumeration date
03/19/2009
Last updated
03/19/2009
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