| Diabetes & Metabolism Assoc Aanc | |
|
3901 Houma Blvd Ste 103 Metairie LA 70006-2930 | |
| (504) 455-1300 | |
| (504) 780-0333 |
| Full Name | Diabetes & Metabolism Assoc Aanc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3901 Houma Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | Jonathan K Wise (PRESIDENT) |
| Authorized Official Contact | 5044551300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Metabolism Assoc Aanc 3901 Houma Blvd Suite 103 Metairie LA 70006-2930 Ph: (504) 455-1300 | Diabetes & Metabolism Assoc Aanc 3901 Houma Blvd Ste 103 Metairie LA 70006-2930 Ph: (504) 455-1300 |
| NPI Number | 1841278256 |
|---|---|
| Provider Enumeration Date | 01/05/2006 |
| Last Update Date | 07/14/2010 |
| Medicare PECOS PAC ID | 4880685080 |
|---|---|
| Medicare Enrollment ID | O20040520000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841278256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Louisiana) | Primary |
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