Healthcare Provider Details

I. General information

NPI: 1962341826
Provider Name (Legal Business Name): GHISLAINE FOUGY, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10230 NEW HAMPSHIRE AVE STE 202
SILVER SPRING MD
20903-1423
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:
Mailing address:
  • Phone: 301-431-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: GHISLAINE FOUGY
Title or Position: PROVIDER
Credential: MD
Phone: 410-717-6331