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NPI Code Detail

MEDICARE: FOMUKI ARISTIDE TAWANG

MEDICARE:   FOMUKI  ARISTIDE TAWANG
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1871445684
Entity Type Code : Individual
Provider Name (Legal Business Name) : FOMUKI ARISTIDE TAWANG
Provider Business Mailing Address
First Line : 3205 WINTER PARK CT
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-7550
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3205 WINTER PARK CT
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-7550
Country : US
Telephone Number : 240-672-3027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “ FOMUKI ARISTIDE TAWANG ” Practice Location

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