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Individual

DR. TAMIRU BONSA BERAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 WASHINGTON ST # 21, BOSTON, MA 02111-1552
(617) 636-5246
(617) 636-7119
Mailing address
800 WASHINGTON ST # 21, BOSTON, MA 02111-1552
(202) 985-9080
(617) 636-7119

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125078086
IL
208M00000X
Hospitalist Physician
Primary
340216
NY
390200000X
Student in an Organized Health Care Education/Training Program
MA

Other

Enumeration date
10/31/2022
Last updated
10/09/2025
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