Provider Demographics
NPI:1093868820
Name:SEMLER DERMATOLOGY, INC
Entity Type:Organization
Organization Name:SEMLER DERMATOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:SEMLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-723-6568
Mailing Address - Street 1:19465 DEERFIELD AVENUE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176
Mailing Address - Country:US
Mailing Address - Phone:703-723-6568
Mailing Address - Fax:703-723-4298
Practice Address - Street 1:19465 DEERFIELD AVENUE
Practice Address - Street 2:SUITE 408
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-723-6568
Practice Address - Fax:703-723-4298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty