Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREIDRICH DATU ANSELMO, MD
ActiveFREIDRICH DATU ANSELMO, MD is a Dermatology healthcare provider located in FAIRFAX, Virginia. NPI 1215565965 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FAIRFAX, VA
Registration Details
- NPI Number
- 1215565965
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2020 (6.3952731886555 yrs)
- Last Updated
- Jan 13, 2025
- License
-
0101279799 (VA)
Practice Information
- Address
-
3025 HAMAKER CT STE 340FAIRFAX, VA, 220312237Browse VA providers · Browse ZIP 22031
- Phone
- 7038498036
- Fax
- 7032043448
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| HARRY WILMER WYRE JR. | M.D. | 1821096090 |
| DR. SURAJ S VENNA | MD | 1366433302 |
| DR. KATHY DIEP NGOC TIEU | M.D. | 1811973951 |
| DWANA RASHAD SHABAZZ | M.D. | 1548296817 |
| ALEXANDRA KAZAKIS | MD | 1386736288 |
| JACK MICHAEL COSTA | M.D. | 1144393935 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.