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1568105443
ELVIS FONJUNGO
BRONX, NY
NPI
1568105443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
Dr. ELVIS FONJUNGO MD
1650 GRAND CONCOURSE
BRONX, NY 10457-7606
Phone number: 718-901-8203
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Mailing Address
Dr. ELVIS FONJUNGO MD
3618 DENISON ST
FREDERICK, MD 21704-7002
Phone number: 443-388-4734
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