Healthcare Provider Details

I. General information

NPI: 1487793709
Provider Name (Legal Business Name): CHERYL FOCHT MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 06/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 ONTARIO RD NW
WASHINGTON DC
20009-2627
US

IV. Provider business mailing address

7008 GREEN SPRING LN
ALEXANDRIA VA
22306-1255
US

V. Phone/Fax

Practice location:
  • Phone: 202-420-7129
  • Fax:
Mailing address:
  • Phone: 202-841-2178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD21986
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: