Healthcare Provider Details

I. General information

NPI: 1922937051
Provider Name (Legal Business Name): MARY FUH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9528 CAPITAL LN
UPPER MARLBORO MD
20774-1060
US

IV. Provider business mailing address

9528 CAPITAL LN
UPPER MARLBORO MD
20774-1060
US

V. Phone/Fax

Practice location:
  • Phone: 614-397-6827
  • Fax:
Mailing address:
  • Phone: 614-397-6827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberHHA200006287
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: