| Jerry H. Rosenberg, M.d. | |
|
4224 Houma Blvd 260 Metairie LA 70006-2933 | |
| (504) 887-5555 | |
| (504) 888-5031 |
| Full Name | Jerry H. Rosenberg, M.d. |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 4224 Houma Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | Jonelle W Couch (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 5048875555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry H. Rosenberg, M.d. 4224 Houma Blvd 260 Metairie LA 70006-2933 Ph: (504) 887-5555 | Jerry H. Rosenberg, M.d. 4224 Houma Blvd 260 Metairie LA 70006-2933 Ph: (504) 887-5555 |
| NPI Number | 1710004007 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710004007 | NPI | - | NPPES |
| 1347931 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 015206 (Louisiana) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | 015206 (Louisiana) | Primary |
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