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1083459929
ENDESHAW HABTESILASSIE
ALLENTOWN, PA
NPI
1083459929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MT230317)
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
ENDESHAW HABTESILASSIE MD
450 CHEW ST STE 101
ALLENTOWN, PA 18102-3434
Phone number: 610-776-4888
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Mailing Address
ENDESHAW HABTESILASSIE MD
450 CHEW ST STE 101
ALLENTOWN, PA 18102-3434
Phone number: 610-776-4888
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