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Ms. Tekle Didebulidze, MD
Student in an Organized Health Care Education/Training Program in Salem, Massachusetts
NPI 1164005054

Tekle Didebulidze is a Student in an Organized Health Care Education/Training Program based in Salem, MA. Tekle Didebulidze practices in Salem, MA and has the professional credentials of MD. The NPI Number for Tekle Didebulidze is 1164005054 and holds a License No. (Massachusetts).

The current practice location address for Tekle Didebulidze is 81 Highland Ave, Salem, MA and can be reached out via phone at 978-354-4009.

Location: 81 Highland Ave, Salem, MA, 01970-2714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164005054
Provider Name
Tekle Didebulidze
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
81 Highland Ave, Salem, MA, 01970-2714
Phone Number
978-354-4009
Fax Number
Provider Enumeration Date
04/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
81 Highland Ave
City
Salem
State
Massachusetts
Zip
01970-2714
Phone Number
978-354-4009
Fax Number
person
Provider Business Mailing Address Details
Address
81 Highland Ave
City
Salem
State
Massachusetts
Zip
01970-2714
Phone Number
978-354-4009
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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