Individual
DR. T. JOE WONGANANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
806 LANDMARK DR, SUITE 128 - 129, GLEN BURNIE, MD 21061-4966
(443) 926-9147
(443) 926-9151
Mailing address
806 LANDMARK DR, SUITE 128 - 129, GLEN BURNIE, MD 21061-4966
(443) 926-9147
(443) 926-9151
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01281
MD
Other
Enumeration date
10/19/2006
Last updated
05/05/2011
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