Provider Demographics
NPI:1154591907
Name:DEFRAITES, ROBERT FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANCIS
Last Name:DEFRAITES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4301 JONES BRIDGE RD
Mailing Address - Street 2:ATTN: DEPT PMB
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4712
Mailing Address - Country:US
Mailing Address - Phone:301-295-0777
Mailing Address - Fax:301-295-3860
Practice Address - Street 1:4301 JONES BRIDGE RD
Practice Address - Street 2:ATTN: DEPT PMB
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4712
Practice Address - Country:US
Practice Address - Phone:301-295-0777
Practice Address - Fax:301-295-3860
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2012-04-10
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Provider Licenses
StateLicense IDTaxonomies
MDD73680208000000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics