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50 Pickett Street Suite 221 Alexandria VA 22304-4708 | |
| (703) 823-4000 | |
| (703) 823-4004 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Pickett Street, Alexandria, Virginia |
| Authorized Official Name and Position | Petros Assefa Ayele (MD) |
| Authorized Official Contact | 7038234000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
50 Pickett Street Suite 221 Alexandria VA 22304-4708 Ph: (703) 823-4000 | 50 Pickett Street Suite 221 Alexandria VA 22304-4708 Ph: (703) 823-4000 |
| NPI Number | 1225438385 |
|---|---|
| Provider Enumeration Date | 08/26/2014 |
| Last Update Date | 11/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225438385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101242641 (Virginia) | Primary |
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