Individual
MATTHEW PATRICK MOMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 PRENTON ST, UPPER MARLBORO, MD 20774-1534
(240) 550-9972
Mailing address
216 PRENTON ST, UPPER MARLBORO, MD 20774-1534
(240) 550-9972
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
000119
DC
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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