Individual
PHILIP BUSAKE CHOFONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 MARION BARRY AVE SE, WASHINGTON, DC 20020-3011
(202) 866-7505
Mailing address
3636 TYROL DR, GLENARDEN, MD 20774-2617
(240) 755-1135
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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