Organization
EYEMAX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TADELE JEMBERE M.D. (SOLE PROPRIETOR)
(240) 476-0099
Entity
Organization
Contact information
Practice address
2211 METZEROTT RD, ADELPHI, MD 20783-1623
(240) 476-0099
Mailing address
2211 METZEROTT RD, ADELPHI, MD 20783-1623
(240) 476-0099
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD11483
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0368715 00
—
DC
Enumeration date
07/13/2008
Last updated
07/18/2008
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