Provider Demographics
NPI:1821352048
Name:CHOFONG, EDWIN MBIKABI
Entity Type:Individual
Prefix:
First Name:EDWIN
Middle Name:MBIKABI
Last Name:CHOFONG
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 1:15763 POINTER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-1710
Mailing Address - Country:US
Mailing Address - Phone:240-438-0112
Mailing Address - Fax:
Practice Address - Street 1:15763 POINTER RIDGE DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1710
Practice Address - Country:US
Practice Address - Phone:240-438-0112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide