Individual provider · NPI-1
Terence Momoh Ndong, MD
Home Health Aide · Glen Burnie, MD
NPI number1023800422
StatusActive
Last updated in NPPESMay 21, 2025
Details
- NPI
- 1023800422
- Entity type
- Individual (NPI-1)
- Name
- Terence Momoh Ndong
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2025
- Certification date
- May 21, 2025
- Last updated
- May 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Practice location
7907 Parke West DrGlen Burnie, MD 21061-4813
Phone 301-329-2990
Mailing address
7907 Parke West DrGlen Burnie, MD 21061-4813
Phone 301-329-2990
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