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1154524809
DEREJE TESFAYE
COLUMBIA, MD
NPI
1154524809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MD D0045693)
Enumeration Date
2007-06-08
Last Update Date
2007-07-08
Business Address
-- DEREJE TESFAYE M.D.
6990 COLUMBIA GATEWAY DR SUITE 350
COLUMBIA, MD 21046-2953
Phone number: 410-872-8590
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Mailing Address
-- DEREJE TESFAYE M.D.
3135 STILES WAY
WEST FRIENDSHIP, MD 21794-9218
Phone number: 410-872-8590
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