NPI 1013722636

Octavius Atud Fongang

Practitioner Case Manager/Care Coordinator Bowie, MD

Practice location

Address: 12515 Saber Ln, Bowie, MD 20715-2220
Phone: (240) 825-8245

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1013722636
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Feb 2025
Record last updated: 11 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.