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Individual

DR. JAN DIXON FOUSHEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8116 GOOD LUCK RD, SUITE 305, LANHAM, MD 20706-3502
(301) 552-1200
(301) 552-1202
Mailing address
8116 GOOD LUCK RD, SUITE 305, LANHAM, MD 20706-3502
(301) 552-1200
(301) 552-1202

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0046518
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
324123800
MD
Enumeration date
01/18/2006
Last updated
06/12/2019
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