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Individual

DR. JEFFREY M LEARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2047
Mailing address
1050 CHESHIRE COURT, CHARLOTTESVILLE, VA 22901
(804) 514-3470

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101249700
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12523492
CAQH
Enumeration date
06/03/2008
Last updated
04/25/2013
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