Individual
DR. JOSE M DEJESUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 BENNETTS CREEK LNDG, SUFFOLK, VA 23435-1749
(757) 312-6800
Mailing address
125 BENNETTS CREEK LNDG, SUFFOLK, VA 23435-1749
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
44325
VA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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