Dr. Otto Louis-jacques
M.D. | Pediatric Gastroenterology | Male
Dr. Otto Louis-jacques, M.D. is a Fairfax, Virginia based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. Otto Louis-jacques is
3022 Williams Dr, Suite 301, Fairfax, Virginia - 22031-4600. He can be contacted on phone at
703-698-1775 and fax number 703-641-8427.
Dr. Otto Louis-jacques is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Otto Louis-jacques is
1124094933 which was assigned by NPPES on 23 Feb, 2006 and it was last updated on 25 Mar, 2016.
Dr. Otto Louis-jacques license number is
0101233886 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Virginia.
Dr. Otto Louis-jacques specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. Otto Louis-jacques basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Dr. Otto Louis-jacques |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Otto Louis-jacques address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3022 Williams Dr, Suite 301
Fairfax, VA, 22031-4600
United States |
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| Phone Number : | 703-698-1775 |
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| Fax Number : | 703-641-8427 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124094933 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Feb, 2006 |
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| Last Updated On : | 25 Mar, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Otto Louis-jacques are as mentioned. Primary taxonomy code for Dr. Otto Louis-jacques, M.D. is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 0101233886 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Otto Louis-jacques such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 6738052 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3022 Williams Dr, Suite 301
Fairfax, VA, 22031-4600
United States |
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| Phone Number : | 703-698-1775 |
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| Fax Number : | 703-641-8427 |
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Business Location:
Patients can refer following map for directions to
Dr. Otto Louis-jacques practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.