NPI 1003702366

Ivarys Fouegap Fonkeng

Practitioner Case Manager/Care Coordinator Silver Spring, MD

Practice location

Address: 9702 Mount Pisgah Rd, Silver Spring, MD 20903-2004
Phone: (240) 505-2588

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1003702366
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2025
Record last updated: 14 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.