Shady Grove Family Health Care INC

NPI #1255414389 in Rockville, Maryland

Provider Information

NPI Number: 1255414389
Entity Type: Organization
Organization Name: Shady Grove Family Health Care INC
Primary Specialty: Family Medicine
Enumeration Date: Oct 23, 2006
Last Updated: May 21, 2008

Practice Location

Address: 14800 PHYSICIANS LN
Address 2: #131
City: Rockville
State: Maryland
ZIP Code: 20850
Phone: (301) 251-9800

Authorized Official

Name: MR. SOCRATES FOTIU, MD
Title: PRESIDENT
Phone: (301) 251-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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