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1501 Newton St Suite C New Orleans LA 70114-2562 | |
(504) 361-3777 | |
(504) 910-3029 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1501 Newton St, New Orleans, Louisiana |
Authorized Official Name and Position | Anthonia Imudia (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5043613777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 641324 Kenner LA 70064-1324 Ph: (504) 361-3777 | 1501 Newton St Suite C New Orleans LA 70114-2562 Ph: (504) 361-3777 |
NPI Number | 1104136241 |
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Provider Enumeration Date | 10/07/2010 |
Last Update Date | 10/07/2010 |
Identifier | Type | State | Issuer |
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1104136241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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