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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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