Dr. Louis B. Jacques M.D. - Family Medicine Physician in Baltimore, Maryland | ProviderWire

Full Name

Dr. Louis Bernard Jacques M.D.

NPI Number

1659378198

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/30/2005

Specialties

(Taxonomies)

Name

Family Medicine Physician

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

District Of Columbia

Maryland

Virginia

License Number

MD14879

D0036186

0101042011

Contact
Information

Purpose

Mailing

Location

Address

918 BARRACUDA COVE CT

7500 SECURITY BLVD

City

Annapolis

Baltimore

State

MD

MD

Postal Code

21401-4719

21244-1849

Country

US

US

Telephone Number

(410) 349-1730

(410) 786-4512

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/12/2008

Provider Address

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