Provider Demographics
NPI:1508551094
Name:FOSEH, LINDA
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:FOSEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:MD
Mailing Address - Zip Code:21225-2915
Mailing Address - Country:US
Mailing Address - Phone:240-278-1337
Mailing Address - Fax:
Practice Address - Street 1:1818 NEW YORK AVE NE # DC110
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-1848
Practice Address - Country:US
Practice Address - Phone:202-489-0615
Practice Address - Fax:202-379-9220
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator