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Individual

DR. AMBACHEW G WORETA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4660 WILKENS AVE, SUITE 203, BALTIMORE, MD 21229-4848
(410) 242-5520
(410) 242-5627
Mailing address
4634 SHEPPARD MANOR DR, ELLICOTT CITY, MD 21042-1454
(410) 242-5520
(410) 242-5627

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0031905
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
430551500
MD
Enumeration date
02/24/2006
Last updated
10/30/2009
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