CHARLES FONGOH

Case Manager/Care Coordinator

Active Individual
NPI: 1073284808

Practice Address

5614 MALVERN WAY
Capitol Heights, MD 20743

Phone: (443) 366-0957

Specialties

Specialty Code Primary License
Nurse's Aide 376K00000X No A00197241 (MD)
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1073284808 is the National Provider Identifier for CHARLES FONGOH, a Case Manager/Care Coordinator provider located in Capitol Heights, MD. This NPI was enumerated on September 22, 2021.
CHARLES FONGOH practices at 5614 MALVERN WAY, Capitol Heights, MD 20743.

Quick Facts

NPI
1073284808
Type
Individual
Enumerated
Sep 22, 2021
Last Updated
Aug 8, 2024

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