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Individual

SUZANNE JAN DE BEUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
415 RAY C HUNT DR STE 2100, CHARLOTTESVILLE, VA 22903-2980
(434) 924-1825
(434) 244-9456
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101277779
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117700100
MD
Enumeration date
05/27/2006
Last updated
08/29/2023
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