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NPI Code Detail

MEDICARE: JOSEPH N NGWATEZEH

MEDICARE: JOSEPH N NGWATEZEH
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1104186535
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH N NGWATEZEH
Provider Business Mailing Address
First Line : 6400 BRAYS ST
Second Line :
City : LANHAM
State : MD
Zip : 20706-3524
Country : US
Telephone Number : 240-701-8099
Fax Number :
Provider Business Practice Location Address
First Line : 3005 BLADENSBURG RD NE STE 1
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2265
Country : US
Telephone Number : 202-635-2320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2012
Last Update Date : 05/20/2024

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Directions to “ JOSEPH N NGWATEZEH ” Practice Location

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