Individual provider · Type 1 NPI

Jamielou Custodio Breckenridge, MD

Surgery Physician · Fort Belvoir, VA

NPI number 1679010896 Active

Practice location

9300 Dewitt Loop
Fort Belvoir, VA 22060-5285

Other practice locations

  • 190 Campus Blvd Ste 310, Winchester, VA 22601-2872 · (540) 536-0130
  • 1840 Amherst St, Winchester, VA 22601-2808 · (540) 536-8000
  • 500 Sentara Cir Ste 202, Williamsburg, VA 23188-5727 · (757) 984-9850

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X0101276676 (VA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

812 other providers at this address

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About NPI 1679010896

Jamielou Custodio Breckenridge, MD's National Provider Identifier is 1679010896, issued on Jan 25, 2017. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fort Belvoir, VA. The record was last updated on Sep 6, 2024.