Provider Demographics
NPI:1699190850
Name:DOCTORS FIRST
Entity Type:Organization
Organization Name:DOCTORS FIRST
Other - Org Name:DOCTORS FIRST P.C.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAKY
Authorized Official - Middle Name:
Authorized Official - Last Name:CALLEJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-215-3301
Mailing Address - Street 1:806 W DIAMOND AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1415
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:806 W DIAMOND AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-1415
Practice Address - Country:US
Practice Address - Phone:301-515-2901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-25
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0005312261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care