Provider Demographics
NPI:1023800422
Name:NDONG, TERENCE MOMOH (MD)
Entity type:Individual
Prefix:
First Name:TERENCE
Middle Name:MOMOH
Last Name:NDONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7907 PARKE WEST DR
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4813
Mailing Address - Country:US
Mailing Address - Phone:301-329-2990
Mailing Address - Fax:
Practice Address - Street 1:7907 PARKE WEST DR
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4813
Practice Address - Country:US
Practice Address - Phone:301-329-2990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No253Z00000XAgenciesIn Home Supportive Care