Individual
DR. JACOBUS BENJAMIN HUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
328 LOUISA AVENUE, SUITE 110, VIRGINIA BEACH, VA 23454-4668
(757) 496-4801
(757) 496-4848
Mailing address
328 LOUISA AVENUE, SUITE 110, VIRGINIA BEACH, VA 23454-4668
(757) 496-4801
(757) 496-4848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0005250455
VA
208200000X
Plastic Surgery Physician
Primary
0101048532
VA
Other
Enumeration date
02/11/2008
Last updated
08/24/2021
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