| Internal Medicine Of Hammond, Llc | |
|
1004 W Thomas St Hammond LA 70401-3040 | |
| (985) 230-4466 | |
| Not Available |
| Full Name | Internal Medicine Of Hammond, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1004 W Thomas St, Hammond, Louisiana |
| Authorized Official Name and Position | Angelo Russo (OWNER) |
| Authorized Official Contact | 9852304466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Hammond, Llc 1004 W Thomas St Hammond LA 70401-3040 Ph: (985) 230-4466 | Internal Medicine Of Hammond, Llc 1004 W Thomas St Hammond LA 70401-3040 Ph: (985) 230-4466 |
| NPI Number | 1013200716 |
|---|---|
| Provider Enumeration Date | 05/27/2011 |
| Last Update Date | 05/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013200716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD.014788 (Louisiana) | Primary |
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