Provider Demographics
NPI:1609569722
Name:TONGE, JHIRBRON
Entity Type:Individual
Prefix:
First Name:JHIRBRON
Middle Name:
Last Name:TONGE
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 1:2300 GOOD HOPE RD SE APT 1110
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-5137
Mailing Address - Country:US
Mailing Address - Phone:202-378-7613
Mailing Address - Fax:
Practice Address - Street 1:2330 GOOD HOPE RD SE APT 312
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-4159
Practice Address - Country:US
Practice Address - Phone:202-629-3758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant