MEDICARE: MUSONG TITA MACKENZIE

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1053104224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUSONG TITA MACKENZIE

Provider Business Mailing Address
First Line	:	95 CAPITAL CT
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-1088
Country	:	US
Telephone Number	:	240-498-2067
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 CAPITAL CT
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-1088
Country	:	US
Telephone Number	:	240-498-2067
Fax Number	:

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

Provider Enumeration Date	:	05/28/2025
Last Update Date	:	12/08/2025

Similar Medicare Providers

1215643135 — LUMBERLAND FIRE DEPARTMENT INC
Practice Location Address:

1088 UPPER MONGAUP RD
GLEN SPEY, NY
12737

Practice Phone: 585-563-1112
Practice Fax: 585-434-3312

1932062841 — ABDUL KALOKOH
Practice Location Address:

10905 SUTTON DR
UPPER MARLBORO, MD
20774-1422

Practice Phone: 240-722-5477
Practice Fax:

1952264897 — QUANTUM SENSES
Practice Location Address:

13701 HEBRON LN
UPPER MARLBORO, MD
20774-8462

Practice Phone: 301-906-1229
Practice Fax:

1770446627 — NWOLEZA PIERRE
Practice Location Address:

3320 SHALBOURNE LN
UPPER MARLBORO, MD
20774-9094

Practice Phone: 240-615-4988
Practice Fax:

1780483651 — ERIC MBAH NKWENTI
Practice Location Address:

116 ESSENTON DR
UPPER MARLBORO, MD
20774-1812

Practice Phone: 240-304-5108
Practice Fax:

1053274894 — MARYAM BARUWA
Practice Location Address:

1110 CAPE TEAL CT
UPPER MARLBORO, MD
20774-7082

Practice Phone: 240-486-7957
Practice Fax:

Directions to “ MUSONG TITA MACKENZIE ” 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 © 2007-2025 (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.