Blaise Ngongban Mofor

Case Manager/Care Coordinator · Landover, MD

Individual Active NPI

NPI number 1467960815

Practice location

410 Warfield Dr Apt 1094
Landover, MD 20785-4785
Phone
(124) 081-7629

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NPI record

NPI
1467960815
Entity type
Individual (Type 1)
Enumeration date
January 19, 2018
Last updated
July 18, 2023
Certified
July 18, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

76 Old Enterprise Rd
Upper Marlboro, MD 20774-1648
Phone
(240) 817-6297

About Blaise Mofor

Blaise Ngongban Mofor is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 410 Warfield Dr Apt 1094, Landover, MD 20785-4785. The NPI number 1467960815 was assigned on January 19, 2018 and the record was last updated on July 18, 2023.

Frequently asked questions

What is the NPI number of Blaise Ngongban Mofor?

The NPI number is 1467960815.

What is the phone number of Blaise Mofor?

The phone number listed for the practice location is (124) 081-7629.

Where is Blaise Mofor located?

410 Warfield Dr Apt 1094, Landover, MD 20785-4785.

What is the taxonomy code for Blaise Mofor?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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