Healthcare Provider Details
I. General information
NPI: 1669466819
Provider Name (Legal Business Name): CHRISTOPHER TIMBERLAKE ALEMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/02/2005
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
525 S INDEPENDENCE BLVD STE 215
VIRGINIA BEACH VA
23452-1188
US
IV. Provider business mailing address
801 YORK ST
MANITOWOC WI
54220-4630
US
V. Phone/Fax
- Phone: 757-467-3900
- Fax: 757-467-7800
- Phone: 920-663-9008
- Fax: 920-684-1439
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | 0101054665 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | 25MA07469100 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: