Organization
THOMAS M. FOGARTY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY DONAHUE (OFFICE MANAGER)
(703) 383-6933
Entity
Organization
Contact information
Practice address
10369 DEMOCRACY LN, SUITE A, FAIRFAX, VA 22030-2548
(703) 383-6933
(703) 383-6936
Mailing address
10369 DEMOCRACY LN, SUITE A, FAIRFAX, VA 22030-2548
(703) 383-6933
(703) 383-6936
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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