MEDICARE: CENTER FOR PLASTIC SURGERY, PC

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	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1386631711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR PLASTIC SURGERY, PC

Provider Business Mailing Address
First Line	:	5550 FRIENDSHIP BLVD
Second Line	:	SUITE 130
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-7256
Country	:	US
Telephone Number	:	301-652-7700
Fax Number	:	301-907-6590

Provider Business Practice Location Address
First Line	:	5550 FRIENDSHIP BLVD
Second Line	:	SUITE 130
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-7256
Country	:	US
Telephone Number	:	301-652-7700
Fax Number	:	301-907-6590

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALBERT F FLEURY JR.
Credential	:	MD
Telephone Number	:	301-652-7700

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	08/22/2020

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