Individual
DR. TITA PALE NDOGNJEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP/CRNA
Contact information
Practice address
901 HARRY S TRUMAN DR N, LARGO, MD 20774-5477
(202) 427-9403
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R219432
MD
Other
Enumeration date
10/24/2022
Last updated
10/15/2025
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