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Individual

DR. KWAME BAWUAH-EDUSEI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4405 HILLSIDE CT, ALEXANDRIA, VA 22306-1215
(301) 661-7103
Mailing address
4405 HILLSIDE CT, ALEXANDRIA, VA 23306
(301) 661-7103

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD21917
DC
207R00000X
Internal Medicine Physician
Primary
VA0101233498
VA

Other

Enumeration date
01/29/2010
Last updated
03/18/2010
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