Mamonluk Chua Medical Group, Pc
May also be knows as Mcmg
Internal Medicine Physician in Washington, DC(View on Map)
Legal Business Name
Mamonluk Chua Medical Group, Pc
Also Known As
Mcmg
NPI Number
1295987436
NPI Type
Organization
Enumeration Date
10/21/2008
Specialties
(Taxonomies)Code
207R00000X
207K00000X
Primary Taxonomy
Yes
No
Licenses
State
District Of Columbia
District Of Columbia
License Number
MD037395
MD037327
Contact
Information
Purpose
Mailing
Location
Address
1160 VARNUM ST NE
1160 VARNUM ST NE
City
Washington
Washington
State
DC
DC
Postal Code
20017-2110
20017-2110
Country
US
US
Telephone Number
(202) 526-3897
(202) 526-3897
Authorized Official
Name
Ferdinand Chua
Title or Position
PRESIDENT
Telephone Number
(202) 526-3897
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/19/2015
Provider Address
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