Provider Demographics
NPI:1346139912
Name:FEDJIO, AUGUSTIN DAWA
Entity type:Individual
Prefix:
First Name:AUGUSTIN
Middle Name:DAWA
Last Name:FEDJIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 OGLETHORPE ST APT 102
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2717
Mailing Address - Country:US
Mailing Address - Phone:227-205-7238
Mailing Address - Fax:
Practice Address - Street 1:2005 OGLETHORPE ST APT 102
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-2717
Practice Address - Country:US
Practice Address - Phone:227-205-7238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide