Healthcare Provider Details
I. General information
NPI: 1205290129
Provider Name (Legal Business Name): ALBERT CYTRYN MD P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2016
Last Update Date: 11/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6420 ROCKLEDGE DR SUITE 4300
BETHESDA MD
20817-7837
US
IV. Provider business mailing address
6420 ROCKLEDGE DR SUITE 4300
BETHESDA MD
20817-7837
US
V. Phone/Fax
- Phone: 301-571-0000
- Fax: 301-571-0853
- Phone: 301-571-0000
- Fax: 301-571-0853
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207WX0200X |
| Taxonomy | Ophthalmic Plastic and Reconstructive Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALBERT
S
CYTRYN
Title or Position: DOCTOR
Credential: MD
Phone: 301-571-0000