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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARTIN TANWIE FONJONG, PHD

Active

DR. MARTIN TANWIE FONJONG, PHD is a Day Training/Habilitation healthcare provider located in UPPER MARLBORO, Maryland. NPI 1043984792 is currently active in the NPPES registry. Verify at CMS.

Day Training/Habilitation · UPPER MARLBORO, MD

Registration Details

NPI Number
1043984792
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2021 (5.0496427771529 yrs)
Last Updated
Aug 5, 2021

Practice Information

Address
11114 POMPEY DR
UPPER MARLBORO, MD, 207724859
Browse MD providers · Browse ZIP 20772
Phone
2406046481
Primary Specialty
Day Training/Habilitation
373H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.