Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Patrick Momoh

Individual provider Exclusive Provider Organization · NPI 1366874570

Matthew Patrick Momoh is an Exclusive Provider Organization in Upper Marlboro, Maryland. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2013

Practice location Address checks out

216 Prenton St
Upper Marlboro, MD 20774-1534
Phone: (240) 550-9972
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence 000119 (DC)

Record details

NPI number1366874570
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 30, 2013
Last updated in NPPESJuly 30, 2013
Mailing address216 Prenton St, Upper Marlboro, MD 20774-1534

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