Healthcare Provider Details

I. General information

NPI: 1083286512
Provider Name (Legal Business Name): DAMIEN ABREU MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2021
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 ELTON RD STE 11
SILVER SPRING MD
20903-5724
US

IV. Provider business mailing address

1730 ELTON RD STE 11
SILVER SPRING MD
20903-5724
US

V. Phone/Fax

Practice location:
  • Phone: 301-439-4301
  • Fax: 301-439-4340
Mailing address:
  • Phone: 301-439-4301
  • Fax: 301-439-4340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberD0105730
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberD0105730
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2021021796
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: