Provider Demographics
NPI:1356409338
Name:MAJETTE, MARIO L (MD)
Entity type:Individual
Prefix:DR
First Name:MARIO
Middle Name:L
Last Name:MAJETTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10801 LOCKWOOD DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1556
Mailing Address - Country:US
Mailing Address - Phone:301-592-0885
Mailing Address - Fax:301-592-0889
Practice Address - Street 1:10801 LOCKWOOD DR
Practice Address - Street 2:SUITE 160
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1556
Practice Address - Country:US
Practice Address - Phone:301-592-0885
Practice Address - Fax:301-592-0889
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2014-09-01
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Provider Licenses
StateLicense IDTaxonomies
MDD52743207Q00000X
DCMD30475207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
009907M92Medicare ID - Type Unspecified
G61892Medicare UPIN