Individual
DR. FASIKA AMBACHEW WORETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
900 NW 17TH ST, ATTN:KATHY CORSER, MIAMI, FL 33136-1119
(410) 961-2868
Mailing address
9910 FRANKLIN SQUARE DR, STE 2110, BALTIMORE, MD 21236-4902
(410) 961-2868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20983
MD
207W00000X
Ophthalmology Physician
Primary
D74786
MD
207W00000X
Ophthalmology Physician
ME109264
FL
Other
Enumeration date
06/11/2007
Last updated
05/28/2019
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