Individual
GERARD EUSEBIUS FEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8218 WISCONSIN AVENUE, SUITE 410, BETHESDA, MD 20814
(301) 572-4495
Mailing address
4009 LAKEHOUSE ROAD, APT 36, BELTSVILLE, MD 20705
(301) 572-4495
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0013206
MD
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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