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Organization
ENT PROFESSIONALS OF MARYLAND LLC
Active
Organization
ENT PROFESSIONALS OF MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WONG MD (OWNER)
(301) 441-9330
Entity
Organization
Contact information
Practice address
6201 GREENBELT RD STE M11, BERWYN HEIGHTS, MD 20740-2333
(301) 441-9330
Mailing address
403 G ST NE, WASHINGTON, DC 20002-4301
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
01/15/2020
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