Individual
CROMWELL MUNDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 PENNSYLVANIA AVE, WASHINGTON, DC 20020-3011
(202) 894-6811
(202) 894-6811
Mailing address
10037 LOCUST ST GLENDALE, GLENDALE, MD 20769
(240) 970-0903
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
07/27/2023
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