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1245241033
MISRAK TADESSE
COLUMBIA, MD
NPI
1245241033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: MD D0046199)
Enumeration Date
2006-08-10
Last Update Date
2007-07-08
Business Address
-- MISRAK TADESSE MD
5755 CEDAR LN HCGH NICU
COLUMBIA, MD 21044-2912
Phone number: 410-740-7557
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Mailing Address
-- MISRAK TADESSE MD
PO BOX 64208
BALTIMORE, MD 21264-4208
Phone number: 443-828-0442
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