JACK LOUIS BREAUX

CHARLOTTESVILLE, VA
NPI1942473905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: VA  0101249491)
Enumeration Date2008-04-10
Last Update Date2012-04-19
Business Address
-- JACK LOUIS BREAUX M.D.
500 MARTHA JEFFERSON DRIVE MB #G236
CHARLOTTESVILLE, VA 22911-4668
Phone number: 434-654-7580
Mailing Address
-- JACK LOUIS BREAUX M.D.
PO BOX 75268
BALTIMORE, MD 21275-5268
Phone number: 434-654-7794
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