Organization
ABSOLUTECARE OF BALTIMORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY P FOTI JR. M.D. (VICE PRESIDENT AND SECRETARY)
(443) 738-0225
Entity
Organization
Contact information
Practice address
1040 PARK AVE, SUITE 200, BALTIMORE, MD 21201
(443) 738-0300
(443) 738-0301
Mailing address
10175 LITTLE PATUXENT PKWY STE 800, COLUMBIA, MD 21044-3401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0071154
MD
207R00000X
Internal Medicine Physician
D53063
MD
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
R167803
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01938969
AMERIGROUP MCO
MD
05
—
780015100
—
MD
05
—
780015101
—
MD
Enumeration date
11/07/2013
Last updated
09/12/2025
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