MEDICARE: ALBERT CYTRYN MD P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0200X	Ophthalmic Plastic and Reconstructive Surgery Physician

General Provider Information

NPI Number	:	1205290129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERT CYTRYN MD P.C.

Provider Business Mailing Address
First Line	:	6420 ROCKLEDGE DR
Second Line	:	SUITE 4300
City	:	BETHESDA
State	:	MD
Zip	:	20817-7837
Country	:	US
Telephone Number	:	301-571-0000
Fax Number	:	301-571-0853

Provider Business Practice Location Address
First Line	:	6420 ROCKLEDGE DR
Second Line	:	SUITE 4300
City	:	BETHESDA
State	:	MD
Zip	:	20817-7837
Country	:	US
Telephone Number	:	301-571-0000
Fax Number	:	301-571-0853

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. ALBERT S CYTRYN
Credential	:	MD
Telephone Number	:	301-571-0000

Provider Enumeration Date	:	04/06/2016
Last Update Date	:	11/17/2016

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