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Organization
SHADY GROVE FAMILY HEALTH CARE INC
Active
Organization
SHADY GROVE FAMILY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOCRATES FOTIU MD (PRESIDENT)
(301) 251-9800
Entity
Organization
Contact information
Practice address
14800 PHYSICIANS LN, #131, ROCKVILLE, MD 20850
(301) 251-9800
(301) 251-9802
Mailing address
14800 PHYSICIANS LN, #131, ROCKVILLE, MD 20850
(301) 251-9800
(301) 251-9802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D16065
MD
Other
Enumeration date
10/23/2006
Last updated
05/21/2008
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