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Dr. Eugide Kasongo Othepa, MD
Student in an Organized Health Care Education/Training Program in Frederick, Maryland
NPI 1639819212

Eugide Kasongo Othepa is a Student in an Organized Health Care Education/Training Program based in Frederick, MD. Eugide Kasongo Othepa practices in Frederick, MD and has the professional credentials of MD. The NPI Number for Eugide Kasongo Othepa is 1639819212 and holds a License No. (Maryland).

The current practice location address for Eugide Kasongo Othepa is 7045 Antebellum Way, Frederick, MD and can be reached out via phone at 571-458-9569.

Location: 7045 Antebellum Way, Frederick, MD, 21703-7479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639819212
Provider Name
Eugide Kasongo Othepa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7045 Antebellum Way, Frederick, MD, 21703-7479
Phone Number
571-458-9569
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7045 Antebellum Way
City
Frederick
State
Maryland
Zip
21703-7479
Phone Number
571-458-9569
Fax Number
person
Provider Business Mailing Address Details
Address
7045 Antebellum Way
City
Frederick
State
Maryland
Zip
21703-7479
Phone Number
571-458-9569
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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