Individual provider · Type 1 NPI

Etienne T. Ngoumgna, PA-C MHS MSC

Medical Physician Assistant · Baltimore, MD

NPI number 1487891776 Active

Practice location

821 N Eutaw St, Suite 103
Baltimore, MD 21201-4648

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC0002500 (MD)
Medical Physician Assistant Primary 363AM0700XC0002500 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1487891776

Etienne T. Ngoumgna, PA-C MHS MSC's National Provider Identifier is 1487891776, issued on Jan 8, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2010.