Provider Demographics
NPI:1598196164
Name:ASRES, GETACHEW ADMASSU (MD (ETHIOPIA))
Entity Type:Individual
Prefix:DR
First Name:GETACHEW
Middle Name:ADMASSU
Last Name:ASRES
Suffix:
Gender:M
Credentials:MD (ETHIOPIA)
Other - Prefix:DR
Other - First Name:GETACHEW
Other - Middle Name:ADMASSU
Other - Last Name:ASRES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SURGICAL ASSISTANT
Mailing Address - Street 1:4 CARTERS GROVE CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6628
Mailing Address - Country:US
Mailing Address - Phone:240-899-6594
Mailing Address - Fax:
Practice Address - Street 1:4 CARTERS GROVE CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-6628
Practice Address - Country:US
Practice Address - Phone:240-899-6594
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist