Individual
PAULOS DEREJE ABEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19415 DEERFIELD AVE STE 301, LANSDOWNE, VA 20176-8472
(571) 367-0000
Mailing address
44527 FIERY SKIPPER TER, ASHBURN, VA 20147-2550
(571) 484-0328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0110010143
VA
Other
Enumeration date
07/01/2024
Last updated
07/15/2024
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