Momoh, Matthew Patrick

Momoh, Matthew Patrick is an sole proprietor health care provider with primary practice located at 216 Prenton St , Upper Marlboro MD 20774-1534. He recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as his primary health care specialty. Momoh, Matthew Patrick can be contacted via phone (240) 550-9972.

Contact Information

Primary practice address
216 Prenton St Upper Marlboro MD 20774-1534
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 000119 District of Columbia

Profile Details

NPI number 1366874570
LBN Legal business name Momoh, Matthew Patrick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2013
Last updated Jul 30th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers