| 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 - Primary Care |
| Location | 4030 Blackburn Ln, Burtonsville, Maryland |
| Authorized Official Name and Position | Hannah Ngale (PRESIDENT) |
| Authorized Official Contact | 3015120726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 | 1649023581 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649023581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
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