Organization

Solomon Feyissa Llc

Internal Medicine Physician in Laurel, MD(View on Map)

Legal Business Name

Solomon Feyissa Llc

NPI Number

1881966851

NPI Type

Organization

Enumeration Date

02/06/2012

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

D070500

Contact
Information

Purpose

Mailing
Location

Address

14740 4TH ST
14740 4TH ST

City

Laurel
Laurel

State

MD
MD

Postal Code

20707-3718
20707-3718

Country

US
US

Telephone Number

(240) 294-6536
(240) 294-6536

Authorized Official

Name

Dr. Solomon Feyissa

Title or Position

GENERAL MANAGER

Telephone Number

(240) 294-6536

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/06/2012

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