| Hersh Medical Clinic, Inc. | |
|
1301 Simon Bolivar Ave New Orleans LA 70113-2222 | |
| (504) 723-5099 | |
| (504) 617-6505 |
| Full Name | Hersh Medical Clinic, Inc. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 1301 Simon Bolivar Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Sheldon Hersh (PRESIDENT) |
| Authorized Official Contact | 5047235099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hersh Medical Clinic, Inc. 506 Short St New Orleans LA 70118-2723 Ph: (504) 723-5099 | Hersh Medical Clinic, Inc. 1301 Simon Bolivar Ave New Orleans LA 70113-2222 Ph: (504) 723-5099 |
| NPI Number | 1821195488 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 08/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821195488 | NPI | - | NPPES |
| 1171409 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 013429 (Louisiana) | Primary |
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