Provider Demographics
NPI:1407628951
Name:TON MEDICAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:TON MEDICAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUYANH
Authorized Official - Middle Name:THAT
Authorized Official - Last Name:TON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-332-2936
Mailing Address - Street 1:7505 NEW HAMPSHIRE AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6972
Mailing Address - Country:US
Mailing Address - Phone:301-445-4100
Mailing Address - Fax:301-445-2167
Practice Address - Street 1:7505 NEW HAMPSHIRE AVE STE 310
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6972
Practice Address - Country:US
Practice Address - Phone:301-445-4100
Practice Address - Fax:301-445-2167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD419500100Medicaid