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Individual

DR. ETONDE M MUSONGE TARKANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
110 IRVING STREET NW, SUITE GB 10, WASHINGTON, DC 20010-2975
(202) 877-2444
(202) 877-7069
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0063390
MD
207R00000X
Internal Medicine Physician
Primary
MD035529
DC

Other

Enumeration date
11/16/2006
Last updated
03/28/2013
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