Organization
J.M.J HEALTH CARE SERVICS, LLC
Active
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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