Individual
DR. ADISALEM MULATU TEFERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2594
(718) 960-9000
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
85037-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2022
Last updated
12/13/2024
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