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NPI Code Detail

MEDICARE: BENYELLA MUSONG BORIS

MEDICARE: BENYELLA MUSONG BORIS
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 : 1487481719
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENYELLA MUSONG BORIS
Provider Business Mailing Address
First Line : 6933 LAMONT DR
Second Line :
City : LANHAM
State : MD
Zip : 20706-4606
Country : US
Telephone Number : 240-854-3205
Fax Number :
Provider Business Practice Location Address
First Line : 3921 MINNESOTA AVENUE
Second Line :
City : NE WASHINGTON
State : DC
Zip : 20002-4508
Country : US
Telephone Number : 202-839-5310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2024
Last Update Date : 04/16/2026

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Directions to “ BENYELLA MUSONG BORIS ” Practice Location

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