IndividualActive
Matthew Momoh
NPI 1366874570 · Exclusive Provider Organization · Upper Marlboro, MD
Provider details
- NPI number
- 1366874570
- Entity type
- Individual
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000119 (DC)
Specialties & taxonomies
Managed Care Organizations
Practice location
216 Prenton St
Upper Marlboro, MD 20774-1534
Phone: (240) 550-9972
Approximate (ZIP-level) locationGet directions
Mailing address
216 Prenton St
Upper Marlboro, MD 20774-1534
Registry dates
- Enumerated
- 2013-07-30
- Last updated
- 2013-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.