MEDICARE: MRS. INGA RAMONA LONDON DC

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	111N00000X	Chiropractor	S03673	MD

General Provider Information

NPI Number	:	1770657520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. INGA RAMONA LONDON DC

Provider Business Mailing Address
First Line	:	15201 ORCHARD FARM PL
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-9040
Country	:	US
Telephone Number	:	703-868-6105
Fax Number	:

Provider Business Practice Location Address
First Line	:	5474 SAINT BARNABAS RD UNIT S
Second Line	:
City	:	OXON HILL
State	:	MD
Zip	:	20745-3622
Country	:	US
Telephone Number	:	301-505-0555
Fax Number	:

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	04/01/2022

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