J & G Family Practice Llc
Adult Medicine Physician in Gwynn Oak, MD(View on Map)
Legal Business Name
J & G Family Practice Llc
NPI Number
1700526142
NPI Type
Organization
Enumeration Date
04/01/2022
Specialties
(Taxonomies)Code
207QA0505X
363LF0000X
Primary Taxonomy
Yes
No
Contact
Information
Purpose
Mailing
Location
Address
6614 WINDSOR MILL RD
6614 WINDSOR MILL RD
City
Gwynn Oak
Gwynn Oak
State
MD
MD
Postal Code
21207-5381
21207-5381
Country
US
US
Telephone Number
(301) 404-1989
(301) 404-1989
Authorized Official
Name
Ngum Avwontom
Title or Position
PRESIDENT
Telephone Number
(301) 404-1989
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/01/2022