Individual
SYLVIA BONGERS BATONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 HOSPITAL RD STE 111, PRINCE FREDERICK, MD 20678-4039
(410) 535-4488
(443) 771-8114
Mailing address
110 HOSPITAL RD STE 111, PRINCE FREDERICK, MD 20678-4039
(410) 535-4488
(443) 771-8114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D43306
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183641200
—
MD
01
—
2178716
AETNA
—
01
—
291569
MAMSI
—
01
—
KS56
CAREFIRST-MARYLAND
MD
01
—
T5080002
CAREFIRST-FEDERAL
—
Enumeration date
01/23/2006
Last updated
01/16/2024
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