Individual
DR. SEFANIT FASSIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 FORBES ST, STE 200, ANNAPOLIS, MD 21401-1538
(410) 263-6363
(410) 263-4086
Mailing address
3645 ELDER OAKS BLVD, #7108, BOWIE, MD 20716-3381
(301) 464-2156
(410) 263-4086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0043194
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0043194
MEDICAL LICENSE
MD
01
—
M34850
CONTROLLED SUBSTANCE
MD
Enumeration date
10/18/2006
Last updated
03/07/2023
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