| Addis Alem Medicine, Pllc | |
|
7300 Van Dusen Rd Laurel MD 20707-9463 | |
| (240) 494-6882 | |
| (202) 403-0508 |
| Full Name | Addis Alem Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 7300 Van Dusen Rd, Laurel, Maryland |
| Authorized Official Name and Position | Maryann Miller (OFFICE MANAGER) |
| Authorized Official Contact | 2404946882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addis Alem Medicine, Pllc 16501 Shady Grove Rd 7275 Gaithersburg MD 20898-9201 Ph: (240) 494-6882 | Addis Alem Medicine, Pllc 7300 Van Dusen Rd Laurel MD 20707-9463 Ph: (240) 494-6882 |
| NPI Number | 1679858443 |
|---|---|
| Provider Enumeration Date | 10/12/2011 |
| Last Update Date | 03/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679858443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | D0069430 (Maryland) | Primary |
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