# ENT PROFESSIONALS OF MARYLAND LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467002550
- **Authorized official:** KENNETH WONG MD (OWNER)
- **Authorized official phone:** (301) 441-9330

## Contact information

- **Practice address:** 6201 GREENBELT RD STE M11, BERWYN HEIGHTS, MD 20740-2333
- **Practice address phone:** (301) 441-9330
- **Mailing address:** 403 G ST NE, WASHINGTON, DC 20002-4301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2019
- **Last updated:** 01/15/2020