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Organization

CHESTER Z. HAVERBACK, M.D., CHARTERED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHESTER Z. HAVERBACK, M.D. M.D. (PRESIDENT/OWNER)
(301) 657-4747
Entity
Organization

Contact information

Practice address
8218 WISCONSIN AVENUE, #320, BETHESDA, MD 20814
(301) 657-4747
(301) 657-9065
Mailing address
8218 WISCONSIN AVENUE, #320, BETHESDA, MD 20814
(301) 657-4747
(301) 657-9065

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D05089
MD
208200000X
Plastic Surgery Physician
MD25318
DC

Other

Enumeration date
07/28/2008
Last updated
07/28/2008
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