Individual
HIRUT DEGEFU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 FLEET STREET, STE 200, BALTIMORE, MD 21224-4230
(410) 558-4900
(410) 522-1475
Mailing address
3501 SINCLAIR LN, BALTIMORE, MD 21213-2029
(410) 732-8800
(410) 534-2392
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0063097
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3767515-00
—
MD
Enumeration date
10/03/2006
Last updated
11/05/2015
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