Provider Demographics
NPI: | 1205290129 |
---|---|
Name: | ALBERT CYTRYN MD P.C. |
Entity type: | Organization |
Organization Name: | ALBERT CYTRYN MD P.C. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | DOCTOR |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ALBERT |
Authorized Official - Middle Name: | S |
Authorized Official - Last Name: | CYTRYN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 301-571-0000 |
Mailing Address - Street 1: | 6420 ROCKLEDGE DR |
Mailing Address - Street 2: | SUITE 4300 |
Mailing Address - City: | BETHESDA |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20817-7837 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 301-571-0000 |
Mailing Address - Fax: | 301-571-0853 |
Practice Address - Street 1: | 6420 ROCKLEDGE DR |
Practice Address - Street 2: | SUITE 4300 |
Practice Address - City: | BETHESDA |
Practice Address - State: | MD |
Practice Address - Zip Code: | 20817-7837 |
Practice Address - Country: | US |
Practice Address - Phone: | 301-571-0000 |
Practice Address - Fax: | 301-571-0853 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-04-06 |
Last Update Date: | 2016-11-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207WX0200X | Allopathic & Osteopathic Physicians | Ophthalmology | Ophthalmic Plastic and Reconstructive Surgery | Group - Single Specialty |