Organization
ETM,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL TED MBUALUNGU M.D. (PRESIDENT)
(202) 291-1645
Entity
Organization
Contact information
Practice address
106 IRVING ST NW STE 403, WASHINGTON, DC 20010-2989
(202) 291-1645
(202) 291-1062
Mailing address
106 IRVING ST NW STE 403, WASHINGTON, DC 20010-2989
(202) 291-1645
(202) 291-1062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21791
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22932100
—
DC
Enumeration date
11/07/2007
Last updated
11/07/2007
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