Provider Demographics
NPI:1457172587
Name:TEZOH, PAUL ANENG
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:ANENG
Last Name:TEZOH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 DURHAM DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3262
Mailing Address - Country:US
Mailing Address - Phone:202-855-4923
Mailing Address - Fax:
Practice Address - Street 1:1205 DURHAM DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-3262
Practice Address - Country:US
Practice Address - Phone:202-855-4923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator