Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mafot & Associates Medical Services LLC

Organization General Practice Physician · NPI 1104248541

Mafot & Associates Medical Services LLC provides General Practice Physician services 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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