Individual
TSEGA GSILASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
650 PENNSYLVANIA AVE SE, STE 220, WASHINGTON, DC 20003-4318
(202) 506-1036
(202) 506-1076
Mailing address
650 PENNSYLVANIA AVE SE, STE 220, WASHINGTON, DC 20003-4318
(202) 506-1036
(202) 506-1076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C04530
MD
363AM0700X
Medical Physician Assistant
0110003744
VA
363AM0700X
Medical Physician Assistant
Primary
PA030892
DC
Other
Enumeration date
03/10/2012
Last updated
05/29/2013
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