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Organization

ABSOLUTECARE OF MD2, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY P FOTI M.D. (VICE PRESIDENT AND SECRETARY)
(443) 738-0225
Entity
Organization

Contact information

Practice address
7501 GREENWAY CENTER DRIVE, STE 600, GREENBELT, MD 20770-6704
(301) 579-3465
(404) 231-5977
Mailing address
10175 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044-3401

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
207Q00000X
Family Medicine Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
797705100
MD
Enumeration date
08/15/2017
Last updated
10/31/2024
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