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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