Provider Demographics
NPI:1245884667
Name:ATONG, BELDINE E
Entity type:Individual
Prefix:
First Name:BELDINE
Middle Name:E
Last Name:ATONG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9407 FONTANA DR
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2403
Mailing Address - Country:US
Mailing Address - Phone:301-543-9119
Mailing Address - Fax:
Practice Address - Street 1:9407 FONTANA DR
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2403
Practice Address - Country:US
Practice Address - Phone:301-543-9119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-25
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA14591374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide