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Individual

DR. GETACHEW TEFFERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1221 MERCANTILE LN, UPPER MARLBORO, MD 20774-5374
(301) 618-5500
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 547-8500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0057218
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
413372200
MD
01
S062-0499
CAREFIRST
MD
Enumeration date
02/13/2007
Last updated
12/29/2021
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