MEDICARE: DR. ROBERT J WILENSKY M.D.

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	2086S0122X	Plastic and Reconstructive Surgery Physician	MD25813	DC

General Provider Information

NPI Number	:	1982946901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J WILENSKY M.D.

Provider Business Mailing Address
First Line	:	2807 BATTERY PL NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3439
Country	:	US
Telephone Number	:	202-966-0359
Fax Number	:	202-363-4129

Provider Business Practice Location Address
First Line	:	2807 BATTERY PL NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20016-3439
Country	:	US
Telephone Number	:	202-966-0359
Fax Number	:	202-363-4129

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2013
Last Update Date	:	03/18/2013

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