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Individual

DR. ANTOINE KOFI FOMUFOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3001 HOSPITAL DR, PEDIATRIX MEDICAL GROUP, CHEVERLY, MD 20785-1189
(301) 618-2630
(301) 618-3941
Mailing address
5722 AVERY PARK DR, ROCKVILLE, MD 20855-1738
(301) 618-2630
(301) 618-3941

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
D16239
MD

Other

Enumeration date
05/13/2006
Last updated
07/27/2008
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