Organization
MAMONLUK CHUA MEDICAL GROUP, PC
Active
Organization
MAMONLUK CHUA MEDICAL GROUP, PC
Active
Other names
MCMG
Organization subpart
No
Provider details
NPI number
Authorized official
FERDINAND P CHUA MD (PRESIDENT)
(202) 526-3897
Entity
Organization
Contact information
Practice address
1160 VARNUM ST NE, SUITE # 008, WASHINGTON, DC 20017-2110
(202) 526-3897
(202) 526-7723
Mailing address
1160 VARNUM ST NE, SUITE # 008, WASHINGTON, DC 20017-2110
(202) 526-3897
(202) 526-7723
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
MD037327
DC
207R00000X
Internal Medicine Physician
Primary
MD037395
DC
Other
Enumeration date
10/21/2008
Last updated
01/19/2015
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