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Contact Information

LIVINUS N FONGANG
3801 KENILWORTH AVE
BLADENSBURG, MD20710-2122
 Phone: 240-825-6166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Attendant Care Provider

3747A0650X
Indicates primary specialty

NPI Profile & details for LIVINUS N FONGANG · (Male)

NPI Number 1689386385
Status Active
Credentials
Entity Individual
Enumeration date 12/14/2022
Last updated 10/29/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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