Individual
DR. BARRY ELLISON BREAUX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 490-1222
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34283
CA
Other
Enumeration date
04/20/2013
Last updated
06/04/2020
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