Individual
PETROS ASSEFA AYELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD INTERNAL MED.
Contact information
Practice address
2712 JEFFERSON DAVIS HIGHWAY, SUITE 101, STAFFORD, VA 22554
(540) 657-9191
(540) 657-0986
Mailing address
85 S. BRAGG STREET SUITE #100, BLUE NILE MEDICAL CENTER, ALEXANDRIA, VA 22312
(703) 845-0700
(703) 794-2269
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101242641
VA
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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