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Organization

HILLANDALE MENTAL HEALTH ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GHISLAINE FOUGY M.D. (DOCTOR)
(301) 431-2500
Entity
Organization

Contact information

Practice address
10230 NEW HAMPSHIRE AVE, SUITE 202, SILVER SPRING, MD 20903-1400
(301) 431-2500
(301) 439-5927
Mailing address
10230 NEW HAMPSHIRE AVE, SUITE 202, SILVER SPRING, MD 20903-1400
(301) 431-2500
(301) 439-5927

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D18251
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001786
VALUE OPTIONS
MD
01
0695
BLUE CROSS BLUE SHIELD
MD
05
131181600
MD
01
181035
MARYLAND MEDICARE
01
260007226
RAILROAD MEDICARE
MD
Enumeration date
06/20/2012
Last updated
06/20/2012
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