Pedro Agbor Agbor Enoh
Individual provider Active NPI Case Manager/Care Coordinator · Severn, MD
NPI 1295588408 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1295588408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 354 Montecristo CT
Severn, MD 21144-3440 - Phone
- (302) 607-4848
- NPI assigned
- Apr 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
354 Montecristo CT
Severn, MD 21144-3440
Mailing address
354 Montecristo CT
Severn, MD 21144-3440
Phone (302) 607-4848
Other providers in Severn, MD
- Access Adult Care LLC
- Ace Healthcare Services LLC
- Lois Achu
- Ganiyat Adeyemo
- Advance Clinical Solutions Inc.
- Rachel Agwa
- Taiwo Ajayi
- Henry Akinyemi
- Caroline Akomolede
- Donnia H Alexander
All providers in Severn, MD · Case Manager/Care Coordinator in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.