Addis Alem Medicine, PLLC
Internal Medicine, Critical Care Medicine in Laurel, MD. Organization (NPI-2).
NPI number1679858443
StatusActive
Last updated in NPPESMar 4, 2014
Details
- NPI
- 1679858443
- Entity type
- Organization (NPI-2)
- Legal business name
- Addis Alem Medicine, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2011
- Last updated
- Mar 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0200X | Internal Medicine, Critical Care Medicine | D0069430 | MD | Yes |
| 207RI0200X | Internal Medicine, Infectious Disease | – | – |
Practice location
7300 Van Dusen RdLaurel, MD 20707-9463
Phone 240-494-6882 · Fax 202-403-0508
Mailing address
16501 Shady Grove Rd7275
Gaithersburg, MD 20898-9201
Phone 240-494-6882 · Fax 202-403-0508
Authorized official
Maryann Miller
Office Manager
2404946882
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