| |
5620 Read Blvd New Orleans LA 70127-3106 | |
(504) 592-6610 | |
(504) 592-6611 |
Full Name | |
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Speciality | General Practice |
Location | 5620 Read Blvd, New Orleans, Louisiana |
Authorized Official Name and Position | Anthony J. Saul (CFO) |
Authorized Official Contact | 5045926625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5620 Read Blvd New Orleans LA 70127-3106 Ph: (504) 592-6610 | 5620 Read Blvd New Orleans LA 70127-3106 Ph: (504) 592-6610 |
NPI Number | 1982155602 |
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Provider Enumeration Date | 10/18/2016 |
Last Update Date | 10/18/2016 |
Identifier | Type | State | Issuer |
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1982155602 | NPI | - | NPPES |
190313 | Other | LA | CMS CERTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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