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CRAIG R. DUFRESNE M.D. P.C. NPI 1992149686


NPI Information

NPI: 1992149686
Provider Name: CRAIG R. DUFRESNE, M.D., P.C.
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
8501 ARLINGTON BLVD
SUITE 420
FAIRFAX, VA
ZIP 22031
Phone: (703) 207-3065
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CRAIG R. DUFRESNE, M.D., P.C. is a plastic and reconstructive surgery surgery in Fairfax, VA. The provider is a surgeon who specializes in plastic and reconstructive surgery. CRAIG R. DUFRESNE, M.D., P.C. NPI is 1992149686. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8501 ARLINGTON BLVD
SUITE 420
FAIRFAX, VA
ZIP 22031-617
Phone: (703) 207-3065

The provider's authorized official is Craig R Dufresne .
The authorized official title is President and has the following contact phone number (703) 207-3065.

The enumeration date for this NPI number is 4/24/2013 and was last updated on 4/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B70265MEDICARE UPIN
2166727OTHERMEDICARE PTEN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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