Provider Demographics
NPI:1326395120
Name:SMOKING & LUNG HEALTH FOUNDATION
Entity Type:Organization
Organization Name:SMOKING & LUNG HEALTH FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ANYE
Authorized Official - Last Name:NGUTI
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:240-533-8146
Mailing Address - Street 1:1603 KINDLEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3835
Mailing Address - Country:US
Mailing Address - Phone:202-503-9157
Mailing Address - Fax:
Practice Address - Street 1:1603 KINDLEWOOD ST
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-3835
Practice Address - Country:US
Practice Address - Phone:202-503-9157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL05175251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare