| J.m.j Health Care Services, Llc | |
|
12150 Annapolis Rd Glenn Dale MD 20769-9183 | |
| (202) 361-8012 | |
| Not Available |
| Full Name | J.m.j Health Care Services, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 12150 Annapolis Rd, Glenn Dale, Maryland |
| Authorized Official Name and Position | James Fonge (DIRECTOR) |
| Authorized Official Contact | 2023618012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.m.j Health Care Services, Llc 12150 Annapolis Rd Glenn Dale MD 20769-9183 Ph: () - | J.m.j Health Care Services, Llc 12150 Annapolis Rd Glenn Dale MD 20769-9183 Ph: (202) 361-8012 |
| NPI Number | 1811271695 |
|---|---|
| Provider Enumeration Date | 09/28/2011 |
| Last Update Date | 09/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811271695 | NPI | - | NPPES |
| 442168000 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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