Individual
BASIL E FOMANKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 BALTIMORE AVE, 300-R9, RIVERDALE, MD 20737-1054
(443) 520-8138
Mailing address
6200 BALTIMORE AVE STE 300-R9, RIVERDALE, MD 20737-1054
(443) 520-8138
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R198010
MD
Other
Enumeration date
01/13/2023
Last updated
09/18/2025
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