Individual
GILBERT N FONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7729 RIVERDALE RD, NEW CARROLLTON, MD 20784-3951
(202) 250-1331
Mailing address
7729 RIVERDALE RD, NEW CARROLLTON, MD 20784-3951
(202) 250-1331
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
F520279621167
MD
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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