NPI 1043984792
Martin Tanwie Fonjong, PHD
Practice location
- Address
- 11114 Pompey Dr, Upper Marlboro, MD 20772-4859
- Phone
- (240) 604-6481
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1043984792
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Aug 2021
- Record last updated
- 5 Aug 2021
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.