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Organization
ACT HEALTH INTEGRATED SERVICES, LLC
Active
Organization
ACT HEALTH INTEGRATED SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY FOWAAH BOATENG DNP (FAMILY NURSE PRACTITIONER)
(301) 679-5770
Entity
Organization
Contact information
Practice address
800 S FREDERICK AVE STE 208, GAITHERSBURG, MD 20877-4152
(301) 679-5770
(301) 235-1520
Mailing address
800 S FREDERICK AVE STE 208, GAITHERSBURG, MD 20877-4152
(301) 679-5770
(301) 235-1520
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
R214992
MD
Other
Enumeration date
06/25/2018
Last updated
09/12/2023
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