Healthcare Provider Details

I. General information

NPI: 1407146293
Provider Name (Legal Business Name): DOCTORS NEXT DOOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 05/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10125 COLESVILLE RD #153
SILVER SPRING MD
20901-2457
US

IV. Provider business mailing address

10125 COLESVILLE RD #153
SILVER SPRING MD
20901-2457
US

V. Phone/Fax

Practice location:
  • Phone: 301-335-6148
  • Fax: 703-533-5536
Mailing address:
  • Phone: 301-335-6148
  • Fax: 703-533-5536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIO MAJETTE
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 301-335-6148