| Ivo Baronne Md,medical Corporation | |
|
3017 Harvard Ave Suite 102 Metairie LA 70006-6494 | |
| (504) 885-7018 | |
| (504) 885-2904 |
| Full Name | Ivo Baronne Md,medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 3017 Harvard Ave, Metairie, Louisiana |
| Authorized Official Name and Position | Ivo Iatchovski-baronne (PRESIDENT) |
| Authorized Official Contact | 5043384042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivo Baronne Md,medical Corporation 1500 W Esplanade Ave Apt.c-45 Kenner LA 70065-5300 Ph: (504) 338-4042 | Ivo Baronne Md,medical Corporation 3017 Harvard Ave Suite 102 Metairie LA 70006-6494 Ph: (504) 885-7018 |
| NPI Number | 1376617928 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830291269 |
|---|---|
| Medicare Enrollment ID | O20070723000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376617928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ivo T Iatchovski-baronne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326123563 PECOS PAC ID: 9436159837 Enrollment ID: I20070723000506 |
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