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Contact Information

TADELE W ALEMU, PHYSICIAN ASSISTANT
300 ARMORY PLACE
SUITE 3M
BALTIMORE, MD21201
 Phone: 410-225-8615
 Fax: 410-462-5095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TADELE W ALEMU · (Male)

NPI # 1083828552
Status Active
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 05/10/2007
Last updated 01/11/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MD License # C0003480
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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