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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
8501 ARLINGTON BLVD, SUITE 420, FAIRFAX, VA 22031-4617
(703) 207-3065
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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