Organization Name: | DERMATOLOGY AND DERMATOLOGIC SURGERY, INC. |
NPI Number: | 1154442051 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAUNDRA L SEAMAN (OWNER) |
Mailing Address: | 8505 Arlington Blvd Suite 210 Fairfax |
State: | VA US |
Postal Code: | 220314621 |
Phone Number: | 7038460076 |
Fax Number: | 7038460025 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 10/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D0053142 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |