Organization
CRAIG R. DUFRESNE, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG R. DUFRESNE M.D. (PRESIDENT)
(703) 207-3065
Entity
Organization
Contact information
Practice address
5530 WISCONSIN AVE, SUITE 1208, CHEVY CHASE, MD 20815-4404
(301) 654-9151
Mailing address
8501 ARLINGTON BLVD, SUITE 420, FAIRFAX, VA 22031-4617
(703) 207-3065
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166727
MEDICARE PTEN
—
Enumeration date
04/24/2013
Last updated
04/24/2013
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