Provider Demographics
NPI:1083286512
Name:ABREU, DAMIEN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:DAMIEN
Middle Name:
Last Name:ABREU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BARNES-JEWISH HOSPITAL
Mailing Address - Street 2:4590 CHILDREN'S PLACE MS 90-29-928
Mailing Address - City:SAINT LOUIS MO 63110
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1093
Mailing Address - Country:US
Mailing Address - Phone:314-358-3435
Mailing Address - Fax:
Practice Address - Street 1:BARNES-JEWISH HOSPITAL
Practice Address - Street 2:4590 CHILDREN'S PLACE MS 90-29-928
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1093
Practice Address - Country:US
Practice Address - Phone:314-368-3435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-14
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021021796207R00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine