Healthcare Provider Details

I. General information

NPI: 1689787079
Provider Name (Legal Business Name): GHISLAINE FOUGY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10230 NEW HAMPSHIRE AVE #202
SILVER SPRING MD
20903-1400
US

IV. Provider business mailing address

10230 NEW HAMPSHIRE AVE STE 202
SILVER SPRING MD
20903-1423
US

V. Phone/Fax

Practice location:
  • Phone: 301-431-2500
  • Fax: 301-439-5927
Mailing address:
  • Phone: 301-431-2500
  • Fax: 410-848-8202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0018251
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: