| Boni Medical & Psychiatric Services Llc | |
|
4030 Blackburn Ln Burtonsville MD 20866-1168 | |
| (240) 722-6733 | |
| Not Available |
| Full Name | Boni Medical & Psychiatric Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4030 Blackburn Ln, Burtonsville, Maryland |
| Authorized Official Name and Position | Hannah Ngale (PRESIDENT) |
| Authorized Official Contact | 3015120726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boni Medical & Psychiatric Services Llc 4030 Blackburn Ln Burtonsville MD 20866-1168 Ph: (240) 722-6733 | Boni Medical & Psychiatric Services Llc 4030 Blackburn Ln Burtonsville MD 20866-1168 Ph: (240) 722-6733 |
| NPI Number | 1639922560 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 5294175576 |
|---|---|
| Medicare Enrollment ID | O20240503000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639922560 | NPI | - | NPPES |
| Provider Name | Hannah L Ngale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386282937 PECOS PAC ID: 9537559992 Enrollment ID: I20211130000609 |
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