Individual
SISAY DEJENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4600 SPOTSYLVANIA PKWY, FREDERICKSBURG, VA 22408-7762
(540) 498-4000
Mailing address
316 ROLLING VALLEY DR, FREDERICKSBURG, VA 22405-1266
(703) 593-4733
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101274818
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
09/26/2022
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