Doctor Name: | MISS ZURIASHWORK T DAMTEW |
NPI Number: | 1073856969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA52058 |
Business Practice Address: | 8118 Good Luck Rd Doctors Community Medical Group Llc Lanham, MD - 207063574 |
Business Phone Number: | 3015528031 |
Business Fax Number: | |
Mailing Address: | Po Box 418056, Doctors Community Medical Group Llc BOSTON |
State: | MA |
Postal Code: | 022418056 |
Phone Number: | 3015528031 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2013 |
NPI Last Update Date: | 08/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA52058 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |