Individual
SCOTT B CHELEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1768 BUSINESS CENTER DR STE 100, RESTON, VA 20190-5359
(800) 762-9244
(786) 672-6006
Mailing address
1768 BUSINESS CENTER DR STE 100, RESTON, VA 20190-5359
(786) 785-1514
(786) 672-6006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA06391900
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA06391900
NJ
207RP1001X
Pulmonary Disease Physician
25MA06391900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04911368
—
NY
05
—
102450866-0001
—
PA
05
—
7228805
—
NJ
Enumeration date
12/09/2005
Last updated
02/28/2021
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