Dr. Martin Tanwie Fonjong, PhD
Day Training/Habilitation Specialist in Upper Marlboro, MD. Individual provider (NPI-1).
NPI number1043984792
StatusActive
Last updated in NPPESAug 5, 2021
Details
- NPI
- 1043984792
- Entity type
- Individual (NPI-1)
- Name
- Dr. Martin Tanwie Fonjong
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2021
- Certification date
- Aug 5, 2021
- Last updated
- Aug 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
11114 Pompey DrUpper Marlboro, MD 20772-4859
Phone 240-604-6481
Mailing address
11114 Pompey DrUpper Marlboro, MD 20772-4859
Phone 240-604-6481
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