Provider Demographics
NPI:1013737063
Name:ALONJE, TAMUKONG
Entity type:Individual
Prefix:
First Name:TAMUKONG
Middle Name:
Last Name:ALONJE
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 1:2604 BALLSTON CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3281
Mailing Address - Country:US
Mailing Address - Phone:240-667-8482
Mailing Address - Fax:
Practice Address - Street 1:2604 BALLSTON CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-3281
Practice Address - Country:US
Practice Address - Phone:240-667-8482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator