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Individual

MARCUS TESHOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8215 WOODLAND AVE, ANNANDALE, VA 22003-2341
(215) 432-6315
Mailing address
8215 WOODLAND AVE, ANNANDALE, VA 22003-2341
(215) 432-6315

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MA08140000
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
64610-20
WI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A107301
CA

Other

Enumeration date
06/26/2006
Last updated
03/06/2017
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