Provider Demographics
NPI:1558537720
Name:TOERGE, SAMANTHA ADRIENNE (MD)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:ADRIENNE
Last Name:TOERGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5454 WISCONSIN AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6931
Mailing Address - Country:US
Mailing Address - Phone:301-951-7905
Mailing Address - Fax:
Practice Address - Street 1:5454 WISCONSIN AVE STE 1400
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6931
Practice Address - Country:US
Practice Address - Phone:301-951-7905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD036560207N00000X
VA0101245200207N00000X
390200000X
MDD0068950207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program