MEDICARE: BODWIN TAMBONGHO FONJI

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
1	374U00000X	Home Health Aide	HHA200005604	DC
2	171M00000X	Case Manager/Care Coordinator		DC

General Provider Information

NPI Number	:	1376336768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BODWIN TAMBONGHO FONJI

Provider Business Mailing Address
First Line	:	1506 FAIRLAKES PL
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-3102
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 EASTERN AVE NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-2833
Country	:	US
Telephone Number	:	202-248-1356
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	05/05/2026

Similar Medicare Providers

1205766839 — MR. JOHN ARREY NDOHTABI
Practice Location Address:

350 EASTERN AVE NE
WASHINGTON, DC
20019-2833

Practice Phone: 202-248-1356
Practice Fax: 202-978-5970

1447319504 — SEAT PLEASANT DRUGS INC
Practice Location Address:

354 EASTERN AVE NE
WASHINGTON, DC
20019-2833

Practice Phone: 202-396-3400
Practice Fax: 202-396-0085

1700945466 — SEAT PLEASANT DRUGS INC
Practice Location Address:

354 EASTERN AVE NE
WASHINGTON, DC
20019-2833

Practice Phone: 202-396-3400
Practice Fax: 202-396-0085

1720346836 — DELPHINE B KONGNYUY
Practice Location Address:

350 EASTERN AVE NE
WASHINGTON, DC
20019-2833

Practice Phone: 202-571-9688
Practice Fax:

1205187937 — MS. ROBIN G ALSTON LPC
Practice Location Address:

350 EASTERN AVE NE
WASHINGTON, DC
20019-2833

Practice Phone: 202-248-1356
Practice Fax:

1710363544 — GANI NWAOGBE
Practice Location Address:

350 EASTERN AVE NE
WASHINGTON, DC
20019-2833

Practice Phone: 202-248-1356
Practice Fax:

Directions to “ BODWIN TAMBONGHO FONJI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.