Individual
MR. WELDEMARIAM MEZGHEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7600 CARROLL AVE, TAKOMA PARK, MD 20912-6367
(301) 891-5447
Mailing address
12001 GORDON AVE, BELTSVILLE, MD 20705-1131
(301) 937-6517
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C01669
MD
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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