Organization
J.M.J HEALTH CARE SERVICS, LLC
Active
Other names
J.M.J Health Care Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES FONGE (DIRECTOR)
(202) 361-8012
Entity
Organization
Contact information
Practice address
12150 ANNAPOLIS RD, GLENN DALE, MD 20769-9183
(202) 361-8012
Mailing address
12150 ANNAPOLIS RD, GLENN DALE, MD 20769-9183
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
442168000
—
MD
Enumeration date
09/28/2011
Last updated
09/28/2011
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