Individual ProviderAloysius Ateawung BezejouhNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address8118 Good Luck Rd, Lanham, MD 20706-3574(240) 413-6894PECOS EnrollmentBased on the most recent information from CMS, provider Aloysius Ateawung Bezejouh does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1922782358Provider TypeIndividualFull NameBezejouh, Aloysius AteawungGenderMaleSole ProprietorYesEnumeration Date6/14/2023Last Updated6/14/2023Contact InformationPractice LocationPractice Address8118 Good Luck Rd, Lanham, MD 20706-3574Phone(240) 413-6894FaxUnlisted FaxMailing LocationMailing Address4305 Warners Discovery Way, Bowie, MD 20720-4893Phone(240) 413-6894FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR199619Maryland