Blue Nile Medical Center PC
NPI #1073544656 in Alexandria, Virginia
Provider Information
- NPI Number
- 1073544656
- Entity Type
- Organization
- Organization Name
- Blue Nile Medical Center PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 5, 2006
- Last Updated
- Dec 6, 2011
Practice Location
- Address
- 85 S BRAGG ST
- Address 2
- SUITE 100
- City
- Alexandria
- State
- Virginia
- ZIP Code
- 22312-2797
- Phone
- (703) 845-0700
Authorized Official
- Name
- TEDLA ANBESSIE, M.D.
- Title
- PHYSICIAN
- Phone
- (703) 845-0700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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