Provider Demographics
NPI:1801113022
Name:GYEBI-FOSTER, JULIET (MD)
Entity type:Individual
Prefix:DR
First Name:JULIET
Middle Name:
Last Name:GYEBI-FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JULIET
Other - Middle Name:
Other - Last Name:GYIMAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3280 URBANA PIKE STE 207
Mailing Address - Street 2:
Mailing Address - City:IJAMSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21754-9406
Mailing Address - Country:US
Mailing Address - Phone:301-874-3431
Mailing Address - Fax:301-874-3416
Practice Address - Street 1:3280 URBANA PIKE STE 207
Practice Address - Street 2:
Practice Address - City:IJAMSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21754-9406
Practice Address - Country:US
Practice Address - Phone:301-874-3431
Practice Address - Fax:301-874-3416
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD007818208VP0014X, 207L00000X
MDD0078118207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology