Provider Demographics
NPI:1962916973
Name:TUMASANG, ASUMTA NGUM
Entity type:Individual
Prefix:
First Name:ASUMTA
Middle Name:NGUM
Last Name:TUMASANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9708 MOUNT PISGAH RD APT 1
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-2007
Mailing Address - Country:US
Mailing Address - Phone:240-618-9949
Mailing Address - Fax:
Practice Address - Street 1:9704 MOUNT PISGAH RD APT 101
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903
Practice Address - Country:US
Practice Address - Phone:240-618-9949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service