Individual provider · Type 1 NPI

Bamoyo Nkongolo, P.A.-C.

Physician Assistant · Baltimore, MD

NPI number 1962559500 Active

Practice location

4940 Eastern Ave
Baltimore, MD 21224-2735

Call (410) 550-0100 Map

Mailing address

3309 W Rogers Ave
Baltimore, MD 21215-4738

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0003263 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962559500

Bamoyo Nkongolo, P.A.-C.'s National Provider Identifier is 1962559500, issued on Jan 5, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.