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Tata Fonyuy

NPI 1619759701 · on the registry since 2023

Practice

Address
7768 Mandan Rd
Greenbelt, MD 20770
Phone
(443) 400-9759

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
171M00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland