Individual
MR. FEKADU ALEMU JIRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 E MADISON ST, BALTIMORE, MD 21202-4260
(410) 539-7176
Mailing address
10108 TOWHEE AVE, ADELPHI, MD 20783-1241
(410) 209-4493
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006211
MD
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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