Provider Demographics
NPI:1306863329
Name:BELMONT AESTHETIC & RECONSTRUCTIVE PLASTIC SURGERY
Entity Type:Organization
Organization Name:BELMONT AESTHETIC & RECONSTRUCTIVE PLASTIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULES
Authorized Official - Middle Name:
Authorized Official - Last Name:FELEDY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:301-654-5666
Mailing Address - Street 1:5530 WISCONSIN AVENUE
Mailing Address - Street 2:SUITE 818
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815
Mailing Address - Country:US
Mailing Address - Phone:301-654-5666
Mailing Address - Fax:301-654-5552
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:SUITE 818
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:301-654-5666
Practice Address - Fax:301-657-5638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty