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NPI Code Detail

MEDICARE: DR. SYLVAIN VALERE SOB TANEMOSSU PHD, PHARMD

MEDICARE:  DR. SYLVAIN VALERE  SOB TANEMOSSU  PHD, PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide
2183500000XPharmacist26782MD

General Provider Information

NPI Number : 1184975195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SYLVAIN VALERE SOB TANEMOSSU PHD, PHARMD
Provider Business Mailing Address
First Line : 11548 FEBRUARY CIR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-6930
Country : US
Telephone Number : 202-403-9356
Fax Number :
Provider Business Practice Location Address
First Line : 11700 OLD COLUMBIA PIKE APT 1812
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-2558
Country : US
Telephone Number : 202-545-0935
Fax Number : 202-545-0176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2012
Last Update Date : 07/03/2020

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Directions to “ DR. SYLVAIN VALERE SOB TANEMOSSU PHD, PHARMD” Practice Location

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