Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mafot & Associates Medical Services LLC

Organization General Practice Physician · NPI 1104248541

Mafot & Associates Medical Services LLC is a General Practice Physician in Glen Burnie, Maryland. Licensed in Maryland. Registered with an NPI since 2014.

Licensed in
MD
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1403 Madison Park Dr Ste 200
Glen Burnie, MD 21061-6427
Phone: (410) 487-6902
Fax: (410) 487-6982
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence D0073466 (MD)

Record details

NPI number1104248541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dagobert Simo — Director · (240) 432-1924
NPI enumeratedJanuary 18, 2014
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022
Mailing address11183 Columbia Pike, Silver Spring, MD 20901-4507

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