Organization
MAFOT & ASSOCIATES MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAGOBERT SIMO MD (DIRECTOR)
(240) 432-1924
Entity
Organization
Contact information
Practice address
1403 MADISON PARK DR STE 200, GLEN BURNIE, MD 21061-6427
(410) 487-6902
(410) 487-6982
Mailing address
11183 COLUMBIA PIKE, SILVER SPRING, MD 20901-4507
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0073466
MD
Other
Enumeration date
01/18/2014
Last updated
08/31/2022
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