NPI 1225842610

Ezekiel Koomson

Practitioner Driver Germantown, MD

Practice location

Address: 3 Pickering CT APT 1, Germantown, MD 20874-3871
Phone: (301) 658-4626

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 10275422705 (MD)

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Registry record

NPI: 1225842610
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2025
Record last updated: 5 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.