Individual
MR. JOSEPH SMITH ENNINFUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRESIDENT
Contact information
Practice address
19351 CIRCLE GATE DR APT 204, GERMANTOWN, MD 20874-5239
(240) 899-1360
(240) 261-4983
Mailing address
19351 CIRCLE GATE DR APT 204, GERMANTOWN, MD 20874-5239
(240) 877-6048
(240) 261-4983
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
MD
172A00000X
Driver
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
MD-10273215236
MD
Other
Enumeration date
10/04/2019
Last updated
04/07/2026
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